Basic Information
Provider Information
NPI: 1033559471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HWANG
FirstName: JUNGAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HWANG
OtherFirstName: FRANCHESCA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 185 S ORANGE AVE
Address2: MEDICAL SCIENCE BUILDING G-506
City: NEWARK
State: NJ
PostalCode: 071032757
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 185 S ORANGE AVE
Address2: MEDICAL SCIENCE BUILDING G-506
City: NEWARK
State: NJ
PostalCode: 071032757
CountryCode: US
TelephoneNumber: 9739724417
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/30/2013
LastUpdateDate: 06/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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