Doctor Name: | JUNG G OH |
NPI Number: | 1093736860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 143070 |
Business Practice Address: | 2330 Union Blvd Suite 1 Islip, NY - 117513103 |
Business Phone Number: | 6312244811 |
Business Fax Number: | 6312244930 |
Mailing Address: | 2330 Union Blvd, Suite 1 ISLIP |
State: | NY |
Postal Code: | 117513103 |
Phone Number: | 6312244811 |
Fax Number: | 6312244930 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 143070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |