Organization Name: | SUK GHONG'S PODIATRY P.C |
NPI Number: | 1083885735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUK GHONG (DOCTOR) |
Mailing Address: | 219 Bridge St Bldg E Metuchen |
State: | NJ US |
Postal Code: | 088402291 |
Phone Number: | 7326350400 |
Fax Number: | 7326351511 |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | MD 02545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |