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Oklahoma Board of Medical Licensure and Supervision

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NG, JEREMY TUCK WOH       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 524 NORTH 19TH STREET #3
PHILADELPHIA PA 19130

Address last updated on 3/11/2011
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 27983
Dated: 8/4/2010
Expires: 8/1/2011
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduated: 5 / 2006
CME Year: 2013
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
524 NORTH 19TH STREET #3
PHILADELPHIA PA 19130

Phone #:
Fax #:

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