Individual
DR. ERWYN CHUA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 HIGH RESORT BLVD SE, PMG RIO RANCHO HIGH RESORT 4100, RIO RANCHO, NM 87124-5901
(505) 559-6400
(505) 462-8538
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2014-0824
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2014-0824
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2010
Last updated
07/21/2015
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