Healthcare Provider Details

I. General information

NPI: 1881027308
Provider Name (Legal Business Name): HB GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 08/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COMMONS WAY STE 701
HOLMDEL NJ
07733-2935
US

IV. Provider business mailing address

100 COMMONS WAY STE 701
HOLMDEL NJ
07733-2935
US

V. Phone/Fax

Practice location:
  • Phone: 732-796-0182
  • Fax: 732-796-0186
Mailing address:
  • Phone: 732-796-0182
  • Fax: 732-796-0186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberMA72196
License Number StateNJ

VIII. Authorized Official

Name: MRS. SEULKEE KIM
Title or Position: OWNER
Credential:
Phone: 732-796-0182