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Organization
JOON J BANG, MD, PC
Active
Organization
JOON J BANG, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOON J BANG MD (PRESIDENT)
(718) 768-1264
Entity
Organization
Contact information
Practice address
200 PROSPECT PARK W, BROOKLYN, NY 11215-5747
(718) 768-1264
(718) 768-0254
Mailing address
200 PROSPECT PARK W, BROOKLYN, NY 11215-5747
(718) 768-1264
(718) 768-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
126410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275741
—
NY
Enumeration date
01/08/2010
Last updated
01/08/2010
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