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NPI Code Detail

MEDICARE: SUNGJUN JOHN HWANG M.D.

MEDICARE: SUNGJUN JOHN HWANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician202483NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255334132
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNGJUN JOHN HWANG M.D.
Provider Business Mailing Address
First Line : 325 WEST ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1723
Country : US
Telephone Number : 585-394-2020
Fax Number : 585-394-9261
Provider Business Practice Location Address
First Line : 325 WEST ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1723
Country : US
Telephone Number : 585-394-2020
Fax Number : 585-394-9261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/06/2023

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