Individual
MR. CHARLES EDRICK ONG CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 REMINGTON AVE STE 2000, BALTIMORE, MD 21211-3037
(667) 312-2400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11514500
NJ
208000000X
Pediatrics Physician
Primary
D0100826
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
09/30/2024
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