Individual
DR. JACK J. HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, GUDELSKY BASEMENT, BALTIMORE, MD 21201-1544
(410) 706-5660
Mailing address
PO BOX 64620, BALTIMORE, MD 21264-4620
(410) 706-5660
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0040989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210121100
—
MD
Enumeration date
03/08/2006
Last updated
09/29/2015
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