Hong, Jack J.

Hong, Jack J. is an individual health care provider with primary practice located at 22 S Greene St Gudelsky Basement, Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Hong, Jack J. can be contacted via phone (410) 706-5660.

Contact Information

Primary practice address
22 S Greene St Gudelsky Basement Baltimore MD 21201-1544
Phone: (410) 706-5660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0040989 Maryland

Profile Details

NPI number 1033186085
LBN Legal business name Hong, Jack J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033186085 NPPES
Maryland MEDICAID 210121100

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