MEDICARE: ALVIN CHUA ONG M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME152864	FL
2	207X00000X	Orthopaedic Surgery Physician	329581	NY
3	207X00000X	Orthopaedic Surgery Physician	MD061812L	PA
4	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	25MA07082000	NJ
5	207X00000X	Orthopaedic Surgery Physician	25MA07082000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0804810000	OTHER	NJ	IBC
2	4289675	OTHER		CIGNA

General Provider Information

NPI Number	:	1992759138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALVIN CHUA ONG M.D.

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	800-321-1321
Fax Number	:	267-479-1321

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE
Second Line	:	BUILDING 1300
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-677-6060
Fax Number	:	609-677-6061

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	05/21/2024

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Directions to “ ALVIN CHUA ONG M.D.” Practice Location

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