Individual
DR. KI H HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, SUITE 8100, NEWARK, NJ 07103-2425
(973) 972-4588
Mailing address
90 BERGEN ST, SUITE 8100, NEWARK, NJ 07103-2425
(973) 972-4588
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MA27132
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442001
—
NJ
Enumeration date
05/08/2007
Last updated
07/08/2007
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