Provider Demographics
NPI:1275406845
Name:BISONG OSCAR, NGOH JUNIOR
Entity type:Individual
Prefix:
First Name:NGOH JUNIOR
Middle Name:
Last Name:BISONG OSCAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12603 ENGLISH ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3402
Mailing Address - Country:US
Mailing Address - Phone:254-316-2645
Mailing Address - Fax:
Practice Address - Street 1:12603 ENGLISH ORCHARD CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3402
Practice Address - Country:US
Practice Address - Phone:254-316-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty