Organization
JUNG JANG HWAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNG J HWAN MD (OWNER)
(570) 587-4394
Entity
Organization
Contact information
Practice address
709 N STATE ST, CLARKS SUMMIT, PA 18411-9139
(570) 587-4394
Mailing address
709 N STATE ST, CLARKS SUMMIT, PA 18411-9139
(570) 587-4394
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD033267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006014770003
—
PA
Enumeration date
09/22/2006
Last updated
08/22/2020
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