| Mr Philip Siva Vittozzi Wong, MD | |
|
290 Haida Ave, Hastings, PA 16646-5610 | |
| (814) 247-3100 | |
| Not Available |
| Full Name | Mr Philip Siva Vittozzi Wong |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 290 Haida Ave, Hastings, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316479488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 305199 (New York) | Secondary |
| 207P00000X | Emergency Medicine | MD471084 (Pennsylvania) | Primary |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Dlp Conemaugh Miners Medical Center Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184620486 PECOS PAC ID: 2860612439 Enrollment ID: O20200205002348 |
| Entity Name | Dlp Conemaugh Meyersdale Medical Center, Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659376358 PECOS PAC ID: 0446470041 Enrollment ID: O20201102000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Philip Siva Vittozzi Wong, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (862) 812-4198 | Mr Philip Siva Vittozzi Wong, MD 290 Haida Ave, Hastings, PA 16646-5610 Ph: (814) 247-3100 |
Samuel E Long, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 Phone: 814-247-3100 | |
David G Hershberger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 Phone: 814-247-3100 |