Healthcare Provider Details

I. General information

NPI: 1508957903
Provider Name (Legal Business Name): JOSEPH K HWANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S J ST
TACOMA WA
98405-4930
US

IV. Provider business mailing address

1608 S J ST FL 1
TACOMA WA
98405-4930
US

V. Phone/Fax

Practice location:
  • Phone: 253-428-2100
  • Fax: 253-274-7563
Mailing address:
  • Phone: 253-428-2100
  • Fax: 253-274-7563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD60568419
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD60568419
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: