Provider Demographics
NPI:1699096362
Name:DONG S HWANG,M.D.P.A.
Entity type:Organization
Organization Name:DONG S HWANG,M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONG
Authorized Official - Middle Name:S
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-977-1851
Mailing Address - Street 1:900 WIND RIVER LN STE 106
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1924
Mailing Address - Country:US
Mailing Address - Phone:301-977-1851
Mailing Address - Fax:301-977-1853
Practice Address - Street 1:900 WIND RIVER LN STE 106
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1924
Practice Address - Country:US
Practice Address - Phone:301-977-1851
Practice Address - Fax:301-977-1853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD802432Medicare PIN