Provider Demographics
NPI:1083352587
Name:CONG, WEI
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:CONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8223 PINELEIGH CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9810
Mailing Address - Country:US
Mailing Address - Phone:513-578-2614
Mailing Address - Fax:
Practice Address - Street 1:8223 PINELEIGH CT
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9810
Practice Address - Country:US
Practice Address - Phone:513-578-2614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications