Healthcare Provider Details

I. General information

NPI: 1851379473
Provider Name (Legal Business Name): RICK HONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE COOPER PLAZA COOPER UNIVERISITY EMERGENCY PHYSICIANS
CAMDEN NJ
08103
US

IV. Provider business mailing address

3 COOPER PLAZA SUITE 502
CAMDEN NJ
08103
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-2930
  • Fax:
Mailing address:
  • Phone: 856-968-7433
  • Fax: 856-968-8499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC10007347
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMA075106
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: