Individual
LOAN KIM HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 848-3817
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10086600
NJ
Other
Enumeration date
03/27/2014
Last updated
01/13/2021
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