Individual
BIENVENIDO S ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 658-9001
Mailing address
PO BOX 5100, NEW CASTLE, PA 16105-0100
(330) 758-2775
(330) 758-2787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-034213-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167882
BLUE SHIELD
PA
Enumeration date
08/09/2006
Last updated
05/08/2008
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