Provider Demographics
NPI:1629261755
Name:WONG, JASON K (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:K
Last Name:WONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 13566
Mailing Address - Street 2:EMERGENCY PHYSICIANS OF PITTSBURGH LTD
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-3566
Mailing Address - Country:US
Mailing Address - Phone:412-469-5959
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:565 COAL VALLEY RD
Practice Address - Street 2:JEFFERSON REGIONAL MEDICAL CENTER
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3703
Practice Address - Country:US
Practice Address - Phone:412-469-5959
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
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Provider Licenses
StateLicense IDTaxonomies
PAMD431148207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine