Healthcare Provider Details

I. General information

NPI: 1003949835
Provider Name (Legal Business Name): SEUNG HEE HONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 BALTIMORE PIKE
SPRINGFIELD PA
19064-3810
US

IV. Provider business mailing address

PO BOX 820933
PHILADELPHIA PA
19182-0933
US

V. Phone/Fax

Practice location:
  • Phone: 484-470-2600
  • Fax:
Mailing address:
  • Phone: 215-926-9010
  • Fax: 215-226-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD430995
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: