Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD418860 | PA |
N | 208600000X | Surgeon | MD418860 | PA |
Y | 2086S0102X | Surgical Critical Care | MD418860 | PA |
NPI | 1003817586 |
---|---|
Provider Name | Adrian W Ong |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 04/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019001760001 | (05) | PA |
2337546 | (05) | OH |
3004235000 | (05) | WV |
H64598 | (02) | PA |