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General NPI Number Information
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NPI Number | 1083885735
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Entity Type | Organization
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Legal Business Name | SUK GHONG'S PODIATRY P.C
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 219 BRIDGE ST BLDG E
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City | METUCHEN
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State | NJ
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Zip | 08840-2291
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Country | US
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Telephone | 732-635-0400
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Fax | 732-635-1511
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Provider Business Mailing Address
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Address Line | 219 BRIDGE ST BLDG E
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City | METUCHEN
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State | NJ
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Zip | 08840-2291
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Country | US
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Telephone | 732-635-0400
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Fax | 732-635-1511
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SUK GHONG
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Credential |
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Telephone | 732-635-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | MD 02545
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License Number State | NJ
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