Doctor Name: | JIHYE JANG |
NPI Number: | 1205226339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28RW02271300 |
Business Practice Address: | 5000 Hadley Center Dr South Plainfield, NJ - 070801140 |
Business Phone Number: | 9084442023 |
Business Fax Number: | |
Mailing Address: | 446b Hillside Ave, PALISADES PARK |
State: | NJ |
Postal Code: | 076502893 |
Phone Number: | 8323817936 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2015 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 28RW02271300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |