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Individual

CARLOS ONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5 ETON CT, PARAMUS, NJ 07652-5536
(201) 265-9771
Mailing address
5 ETON CT, PARAMUS, NJ 07652-5536

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
23665
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23665
NJ
Enumeration date
08/13/2012
Last updated
04/19/2026
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