Individual
DR. CHAWENG ONGKASUWAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 MAIDEN CHOICE LN, SUITE 204, BALTIMORE, MD 21228-5943
(410) 788-6738
(410) 719-6910
Mailing address
716 MAIDEN CHOICE LN, SUITE 204, BALTIMORE, MD 21228-5943
(410) 788-6738
(410) 719-6910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0016205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129001
AETNA PROVIDER ID
MD
01
—
36299
MAMSI/OPT/MDIPA PROV. ID
MD
Enumeration date
09/02/2005
Last updated
07/08/2007
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