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Organization

JAE UI. HONG

Active
Other names
Somerset Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JAE UI HONG MD (OWNER)
(814) 445-5169
Entity
Organization

Contact information

Practice address
321 E MAIN ST, SUITE 100, SOMERSET, PA 15501-2104
(814) 445-5169
(814) 443-6290
Mailing address
321 E MAIN ST, SUITE 100, SOMERSET, PA 15501-2104
(814) 445-5169
(814) 443-6290

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD059496L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016007050014
PA
05
0018013740002
PA
01
110216603
PALMETTO GBA
01
123405
HEALTH ASSURANCE
PA
01
1532377
UMWA
01
207960
UPMC
PA
01
76444
UNISON
PA
01
838177
BLUE CROSS/ BLUE SHIELD
01
946096
AETNA
PA
Enumeration date
11/01/2007
Last updated
06/17/2008
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