Individual
BEN HYUNG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4685 S CONGRESS AVE, LAKE WORTH, FL 33461-4710
(561) 964-2662
(561) 432-5680
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME84889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10476
DIMENSION
FL
01
—
1242173
WELLCARE
FL
01
—
17106
BCBS
FL
05
—
266145400
—
FL
01
—
288319
AVMED
FL
01
—
7600501
AETNA
FL
01
—
P01560979
RR MEDICARE
FL
01
—
P939536
OPTIMUM
FL
01
—
P998463
FREEDOM
FL
Enumeration date
10/20/2005
Last updated
10/06/2016
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