Provider Demographics
NPI:1073591145
Name:FONG, JOHN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:FONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 5TH AVE
Mailing Address - Street 2:SUITE P4501
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3000
Mailing Address - Country:US
Mailing Address - Phone:412-544-2886
Mailing Address - Fax:412-544-2619
Practice Address - Street 1:120 5TH AVE
Practice Address - Street 2:SUITE P4501
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3000
Practice Address - Country:US
Practice Address - Phone:412-544-2886
Practice Address - Fax:412-544-2619
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD034323E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology