Provider Demographics
NPI:1750737110
Name:JOH, JU HOAN (MD MS MPH)
Entity type:Individual
Prefix:DR
First Name:JU
Middle Name:HOAN
Last Name:JOH
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Gender:M
Credentials:MD MS MPH
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Mailing Address - Street 1:40 LA RIVIERE DR STE 140
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-4306
Mailing Address - Country:US
Mailing Address - Phone:716-893-1010
Mailing Address - Fax:716-893-1002
Practice Address - Street 1:511 FARBER LAKES DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-5779
Practice Address - Country:US
Practice Address - Phone:716-815-3344
Practice Address - Fax:716-242-0171
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2022-11-29
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Provider Licenses
StateLicense IDTaxonomies
NY292170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine