Provider Demographics
NPI:1568405678
Name:ING-SEI HWANG MD PA
Entity Type:Organization
Organization Name:ING-SEI HWANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HUA-MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-722-2788
Mailing Address - Street 1:7301 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2935
Mailing Address - Country:US
Mailing Address - Phone:954-722-2788
Mailing Address - Fax:954-721-5988
Practice Address - Street 1:7301 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 206
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2935
Practice Address - Country:US
Practice Address - Phone:954-722-2788
Practice Address - Fax:954-721-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0999978OtherGHI
22271OtherWELLCARE
FL039731800Medicaid
NY0999978OtherGHI
D60392Medicare UPIN