Organization
DERMATOLOGIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J HONG M.D. (PHYSICIAN)
(609) 927-5885
Entity
Organization
Contact information
Practice address
1401 NEW RD, LINWOOD, NJ 08221-1121
(609) 927-5885
(609) 927-5565
Mailing address
1401 NEW RD STE A, PO BOX 107, LINWOOD, NJ 08221-1121
(609) 927-5885
(609) 927-5565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07151700
NJ
174400000X
Specialist
25MA07850300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052440SGY
MEDICARE PROVIDER NUMBER
NJ
01
—
091049SGY
MEDICARE PROVIDER NUMBER
NJ
Enumeration date
10/05/2006
Last updated
04/20/2008
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