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NPI Code Detail

MEDICARE: STEPHEN HUNG DDS

MEDICARE:   STEPHEN  HUNG  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22DI01891300NJ

General Provider Information

NPI Number : 1811198633
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN HUNG DDS
Provider Business Mailing Address
First Line : 2460 LEMOINE AVE
Second Line : SUITE #101
City : FORT LEE
State : NJ
Zip : 07024-6231
Country : US
Telephone Number : 201-947-3777
Fax Number : 201-947-3710
Provider Business Practice Location Address
First Line : 2460 LEMOINE AVE
Second Line : SUITE #101
City : FORT LEE
State : NJ
Zip : 07024-6231
Country : US
Telephone Number : 201-947-3777
Fax Number : 201-947-3710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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Directions to “ STEPHEN HUNG DDS” Practice Location

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