Provider Demographics
NPI:1588804512
Name:YE, RONG (PA-C)
Entity Type:Individual
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First Name:RONG
Middle Name:
Last Name:YE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5450 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2373
Mailing Address - Country:US
Mailing Address - Phone:410-964-5300
Mailing Address - Fax:410-740-8658
Practice Address - Street 1:5450 KNOLL NORTH DR
Practice Address - Street 2:SUITE 260
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2373
Practice Address - Country:US
Practice Address - Phone:410-964-5300
Practice Address - Fax:410-740-8658
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
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Provider Licenses
StateLicense IDTaxonomies
MDC0003883363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant