Provider Demographics
NPI:1679736151
Name:SUNG HYE HWANG
Entity type:Organization
Organization Name:SUNG HYE HWANG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:H
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-360-5751
Mailing Address - Street 1:6901 SECURITY BLVD
Mailing Address - Street 2:UNIT 545
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2412
Mailing Address - Country:US
Mailing Address - Phone:410-277-0377
Mailing Address - Fax:410-277-0336
Practice Address - Street 1:6901 SECURITY BLVD
Practice Address - Street 2:UNIT 545
Practice Address - City:BATIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2412
Practice Address - Country:US
Practice Address - Phone:410-277-0377
Practice Address - Fax:410-277-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-06
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment