Individual
SANGBAEK CHARLES OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 BAY AVE, MMG GASTROENTEROLOGY, GLEN RIDGE, NJ 07028
(973) 748-9166
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 967-8221
(201) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA06878700
NJ
Other
Enumeration date
05/12/2006
Last updated
06/29/2020
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