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Individual

OK HEE WON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
781 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512
(570) 558-4560
(570) 558-4564
Mailing address
PO BOX 822227, PHILADELPHIA, PA 19182-2227
(570) 558-4560
(570) 558-4564

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD020059E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009736970003
PA
01
165196
BS
01
220005848
RR MC
Enumeration date
04/25/2006
Last updated
11/06/2012
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