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Individual
DR. JUSTIN SUP HONG
Active
Individual
DR. JUSTIN SUP HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
8301941-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD442705
PA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD442705
PA
Other
Enumeration date
07/14/2008
Last updated
07/21/2021
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