Wong, Edgar

Wong, Edgar is an individual health care provider with primary practice located at 32-36 Central Ave , Wellsboro PA 16901-1840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Wong, Edgar can be contacted via phone (570) 723-0140.

Contact Information

Primary practice address
32-36 Central Ave Wellsboro PA 16901-1840
Phone: (570) 723-0140
Fax: (570) 724-6541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD030098E Pennsylvania

Profile Details

NPI number 1841208030
LBN Legal business name Wong, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841208030 NPPES
Pennsylvania Other WO435288 BLUE CROSS/BLUE SHIELD
Pennsylvania MEDICAID 2173426 BLUE CROSS/BLUE SHIELD
Pennsylvania MEDICAID 0010072670002 BLUE CROSS/BLUE SHIELD

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