Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MB03912200 | NJ |
N | 111NI0900X | Internist | 25MB03912200 | NJ |
N | 207RC0200X | Critical Care Medicine | 25MB03912200 | NJ |
Y | 207RP1001X | Pulmonary Disease | 25MB03912200 | NJ |
NPI | 1063509362 |
---|---|
Provider Name | Dr. Cheng-Hong Hwang |
First Address | Clark, NJ 07066-1252 |
Second Address | Clark, NJ 07066-1252 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 16/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3178307 | (05) | NJ |
C54208 | (02) | NJ |