Individual
JOONG MO AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
(319) 356-2220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD444420
PA
2085R0202X
Diagnostic Radiology Physician
SP 160
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438234
—
IA
01
—
24492
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
08/23/2024
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