MEDICARE: WARREN ANDREW ONG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	9162	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003896101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN ANDREW ONG MD

Provider Business Mailing Address
First Line	:	2756 POST RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3077
Country	:	US
Telephone Number	:	401-691-6000
Fax Number	:	401-738-7718

Provider Business Practice Location Address
First Line	:	2756 POST RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3077
Country	:	US
Telephone Number	:	401-691-6000
Fax Number	:	401-738-7718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	11/26/2024

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