Provider Demographics
NPI:1255314688
Name:ONG, ROMEO SLY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:SLY
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 RIDGE RD
Mailing Address - Street 2:#236
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2394
Mailing Address - Country:US
Mailing Address - Phone:440-884-3880
Mailing Address - Fax:440-884-3879
Practice Address - Street 1:5500 RIDGE RD
Practice Address - Street 2:#236
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2394
Practice Address - Country:US
Practice Address - Phone:440-884-3880
Practice Address - Fax:440-884-3879
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0469041Medicaid
OH0469041Medicaid