Provider Demographics
NPI:1952387557
Name:ONG, GEORGE P (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:P
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:850 WALNUT BOTTOM ROAD
Mailing Address - Street 2:BELVEDERE MEDICAL CORPORATION
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3698
Mailing Address - Country:US
Mailing Address - Phone:717-245-0272
Mailing Address - Fax:717-243-2357
Practice Address - Street 1:850 WALNUT BOTTOM ROAD
Practice Address - Street 2:BELVEDERE MEDICAL CORPORATION
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3698
Practice Address - Country:US
Practice Address - Phone:717-245-0272
Practice Address - Fax:717-243-2357
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022482E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008327500001Medicaid
50000625OtherCAP BLUE CROSS
183204OtherHIGHMARK BLUE SHIELD
50000625OtherCAP BLUE CROSS
PA0008327500001Medicaid