Provider Demographics
NPI:1477630440
Name:WON, JOHN H (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:H
Last Name:WON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14238 37TH AVE STE 2F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4580
Mailing Address - Country:US
Mailing Address - Phone:718-888-7800
Mailing Address - Fax:718-888-7377
Practice Address - Street 1:14238 37TH AVE STE 2F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4580
Practice Address - Country:US
Practice Address - Phone:718-888-7800
Practice Address - Fax:718-888-7377
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07256600208800000X
NY219580208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH30377Medicare UPIN