Provider Demographics
NPI:1770769952
Name:ONG, DESIREE S (MD)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:S
Last Name:ONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8311 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4830
Mailing Address - Country:US
Mailing Address - Phone:301-604-2010
Mailing Address - Fax:301-490-3768
Practice Address - Street 1:8311 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4830
Practice Address - Country:US
Practice Address - Phone:301-604-2010
Practice Address - Fax:301-490-3768
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 103450207W00000X
TXN2225207W00000X
MDD0069400207W00000X
PAMD43867207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology