Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA05095200 | NJ |
Y | 208600000X | Surgeon | 25MA05095200 | NJ |
N | 208200000X | Surgeon | 40102 | GA |
N | 208600000X | Surgeon | 40102 | GA |
N | 208200000X | Surgeon | GA040102 | GA |
N | 208600000X | Surgeon | GA040102 | GA |
NPI | 1013054725 |
---|---|
Provider Name | Dr. David C Hon |
First Address | Marlton, NJ 08053-4197 |
Second Address | Sewell, NJ 08080-4005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F19888 | (02) | |
F19888 | (02) | GA |