Healthcare Provider Details

I. General information

NPI: 1083242796
Provider Name (Legal Business Name): LINDA S HONG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SOUTH ST STE 220A
MORRISTOWN NJ
07960-6477
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-4222
  • Fax: 973-290-7050
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB11943700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: