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Individual

DR. IHN YOUNG WHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2790
(973) 754-2791
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MA065692
NJ
207L00000X
Anesthesiology Physician
Primary
25MA06569200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7391404
NJ
Enumeration date
07/08/2005
Last updated
03/31/2015
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