Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD443052 | PA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD443052 | PA |
NPI | 1457578791 |
---|---|
Provider Name | Dr. Michael Ondik |
First Address | Langhorne, PA 19047-1818 |
Second Address | Langhorne, PA 19047-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/04/2014 |