Individual
JAE C. HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
721 SKIPPACK PIKE STE 3, BLUE BELL, PA 19422-1700
(484) 622-6700
(484) 622-6720
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS017432
PA
Other
Enumeration date
06/06/2012
Last updated
10/20/2020
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