Doctor Name: | MIN HWANG |
NPI Number: | 1013394170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 26NJ00561900 |
Business Practice Address: | 200 Grand Ave Ste 203 Englewood, NJ - 076314363 |
Business Phone Number: | 2019443115 |
Business Fax Number: | 8662780484 |
Mailing Address: | 200 Grand Ave Ste 203, ENGLEWOOD |
State: | NJ |
Postal Code: | 076314363 |
Phone Number: | 2019443115 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NJ00561900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |