Provider Demographics
NPI:1689989675
Name:NGO, JULIAN M (DO)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:M
Last Name:NGO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:19 SPRINT DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7002
Mailing Address - Country:US
Mailing Address - Phone:717-701-8251
Mailing Address - Fax:717-701-8289
Practice Address - Street 1:19 SPRINT DR
Practice Address - Street 2:SUITE 1
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7002
Practice Address - Country:US
Practice Address - Phone:717-701-8251
Practice Address - Fax:717-701-8289
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS017070207ND0101X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery