Individual
DESIREE S ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8311 CHERRY LN, LAUREL, MD 20707-4830
(301) 604-2010
(301) 490-3768
Mailing address
8311 CHERRY LN, LAUREL, MD 20707-4830
(301) 604-2010
(301) 490-3768
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0069400
MD
207W00000X
Ophthalmology Physician
MD43867
PA
207W00000X
Ophthalmology Physician
ME 103450
FL
207W00000X
Ophthalmology Physician
N2225
TX
Other
Enumeration date
01/17/2008
Last updated
09/30/2010
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