Individual
AIDA ONG OBUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,FAAP
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY, SUITE 600, COLONIAL HEIGHTS, VA 23834-2986
(804) 518-3288
Mailing address
325 CHARLES H DIMMOCK PKWY, SUITE 600, COLONIAL HEIGHTS, VA 23834-2986
(804) 518-3288
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101056016
VA
Other
Enumeration date
01/27/2006
Last updated
03/07/2017
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