Individual
MR. SUK I GHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
219 BRIDGE ST, BLD E, METUCHEN, NJ 08840-2291
(732) 635-0400
(732) 635-1511
Mailing address
219 BRIDGE ST, BLD E, MEKUCHEN, NJ 08840-2291
(732) 635-0400
(732) 635-1511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NJ MD02545
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7972903
—
NJ
Enumeration date
11/08/2006
Last updated
12/29/2010
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