Luisito S Dingcong Md Pc | |
1033 Turnpike Ave Clearfield PA 16830-3061 | |
(814) 765-2137 | |
(814) 768-2084 |
Full Name | Luisito S Dingcong Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1033 Turnpike Ave, Clearfield, Pennsylvania |
Authorized Official Name and Position | Luisito S. Dingcong (MD) |
Authorized Official Contact | 8148349670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Luisito S Dingcong Md Pc Po Box 904 Saint Marys PA 15857-0904 Ph: (814) 834-9670 | Luisito S Dingcong Md Pc 1033 Turnpike Ave Clearfield PA 16830-3061 Ph: (814) 765-2137 |
NPI Number | 1396968871 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 01/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396968871 | NPI | - | NPPES |
0014738630006 | Medicaid | PA | |
100298 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD052607L (Pennsylvania) | Primary |
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