Individual
JUNG-SOO JOHN HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8769
(410) 328-3577
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8769
(410) 328-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D53765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005883547
—
VA
05
—
034622900
—
DC
01
—
675349-03
BC/BS GREENE ST
MD
05
—
802103101
—
MD
01
—
S062-0345
BC/BS - REGIONAL
MD
Enumeration date
05/19/2006
Last updated
09/20/2010
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