Individual
RODOLFO DE LOSSANTOS ONGJOCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 PERRY DR, SOUTHERN PINES, NC 28387-7020
(910) 246-0567
(910) 246-0669
Mailing address
180 PERRY DR, SOUTHERN PINES, NC 28387-7020
(910) 246-0567
(910) 246-0669
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9500170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89764208
—
NC
Enumeration date
11/18/2005
Last updated
01/23/2008
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