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NPI Code Detail

MEDICARE: BEN BRIAN ONG D.O.

MEDICARE:   BEN BRIAN  ONG  D.O.
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
1207Q00000XFamily Medicine Physician80914GA

General Provider Information

NPI Number : 1366785263
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEN BRIAN ONG D.O.
Provider Business Mailing Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 724-658-7551
Provider Business Practice Location Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 734-658-7551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2013
Last Update Date : 01/06/2021

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Directions to “ BEN BRIAN ONG D.O.” Practice Location

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