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NPI Code Detail

MEDICARE: DR. CHONG HWA HONG MD, PHD

MEDICARE: DR. CHONG HWA HONG MD, PHD
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
12084P0800XPsychiatry PhysicianD46890MD
22084P0800XPsychiatry PhysicianAFE44589CA

General Provider Information

NPI Number : 1992058887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHONG HWA HONG MD, PHD
Provider Business Mailing Address
First Line : 10015 OLD COLUMBIA RD STE B215
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1865
Country : US
Telephone Number : 410-371-2063
Fax Number : 410-988-2869
Provider Business Practice Location Address
First Line : 10015 OLD COLUMBIA RD STE B215
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1865
Country : US
Telephone Number : 410-371-2063
Fax Number : 410-988-2869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2012
Last Update Date : 10/17/2012

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