Individual
CHORNG JEN HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C51334
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C51334
CA
Other
Enumeration date
11/15/2006
Last updated
01/21/2014
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