Healthcare Provider Details

I. General information

NPI: 1134722085
Provider Name (Legal Business Name): HOK CHUN TANG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 NORTH AVE
GARWOOD NJ
07027-1001
US

IV. Provider business mailing address

1625 PATERSON PLANK RD APT 8
SECAUCUS NJ
07094-4077
US

V. Phone/Fax

Practice location:
  • Phone: 908-301-2871
  • Fax:
Mailing address:
  • Phone: 201-218-2297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03876100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: