Jung Hoon Son, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Leonia, NJ

NPI 1043576713 · NPPES record last updated Apr 7, 2012

Key facts

NPI
1043576713
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
353 Moore Ave
Leonia, NJ 07605-2023
Phone
(201) 403-4066
NPI assigned
Apr 7, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

353 Moore Ave
Leonia, NJ 07605-2023

Mailing address

353 Moore Ave
Leonia, NJ 07605-2023
Phone (201) 403-4066

Other providers in Leonia, NJ

All providers in Leonia, NJ · Student in an Organized Health Care Education/Training Program in New Jersey

Sources for this page

Verify at the official NPI Registry.