MEDICARE: EUGENE J WHANG MD

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
1	207N00000X	Dermatology Physician	207206	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1295727808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE J WHANG MD

Provider Business Mailing Address
First Line	:	PO BOX 682
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-0620
Country	:	US
Telephone Number	:	718-792-4700
Fax Number	:	718-828-1898

Provider Business Practice Location Address
First Line	:	3620 E TREMONT AVE
Second Line	:	2ND FLOOR
City	:	BRONX
State	:	NY
Zip	:	10465-2022
Country	:	US
Telephone Number	:	718-792-4700
Fax Number	:	718-828-1898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	11/17/2021

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Directions to “ EUGENE J WHANG MD” Practice Location

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