Individual
DR. EDGARDO A ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 SEBER RD, UNIT 1B, HACKETTSTOWN, NJ 07840-1722
(908) 979-1302
(973) 401-1201
Mailing address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
(973) 401-1201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03006500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03006500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1259709
—
NJ
Enumeration date
01/15/2007
Last updated
06/18/2019
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