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Physician Compare National (NPI:1114009388)

HEALTHCARE PROVIDER: SHI-HONG LOH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1114009388
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901065515
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120316000267
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LOH
Individual professional last name
Provider First Name SHI HONG
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty HEMATOLOGY/ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 109 GRAND ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City HOBOKEN
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 070308587
Group Practice or individual's zip code (9 digits when available)
Phone Number 2016590100
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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