Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 64502 | OH |
NPI | 1003968876 |
---|---|
Provider Name | Mrs. Margaret L Ng-Cadlaon |
First Address | Coal Grove, OH 45638 |
Second Address | Coal Grove, OH 45638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0911188 | (05) | OH |
64932056 | MEDICAID (01) | KY |
F51880 | (02) |