Individual
JOHN HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Mailing address
24 ELM ST, HARRINGTON PARK, NJ 07640-1902
(201) 784-0123
(201) 784-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06561200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K2581
HEALTHNET #
NJ
01
—
2145219
AETNA HMO #
NJ
01
—
223413838
TAX IDENTIFICATION #
NJ
01
—
2330926000
AMERIHEALTH #
NJ
01
—
29N251
EMPIRE #
NJ
01
—
5847705
AETNA PPO #
NJ
05
—
8149402
—
NJ
01
—
P922845
OXFORD #
NJ
Enumeration date
10/06/2005
Last updated
01/02/2018
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