Individual
DR. JUSTIN SUP HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE, SUITE 101, HUMMELSTOWN, PA 17036-9188
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
8301941-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD442705
PA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD442705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026286140002
—
PA
Enumeration date
07/14/2008
Last updated
07/21/2021
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