Individual
JAE UI HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 E MAIN ST, SUITE 100, SOMERSET, PA 15501-2104
(814) 445-5169
(814) 443-6290
Mailing address
321 E MAIN ST, SUITE 100, SOMERSET, PA 15501-2104
(814) 445-5169
(814) 443-6290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD059496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018013740002
—
PA
01
—
110216603
PALMETTO GBA-RR MEDICARE
—
01
—
123405
HEALTH AMERICA/ASSURANCE
—
01
—
207960
UPMC
—
01
—
76444
THREE RIVERS
—
01
—
838177
BCBS
—
01
—
946096
AETNA
—
Enumeration date
09/30/2005
Last updated
12/01/2009
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