Kwang Soo Bae in South Orange - General Practice

Kwang Soo Bae - NPI 1891967733

Kwang Soo Bae is a General Practice in South Orange, New Jersey. Kwang Soo Bae practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kwang Soo Bae is 1891967733. The last update date is 2008-04-01.

Kwang Soo Bae's current location address is 106 Prospect Street, South Orange, New Jersey. You can contact this provider via phone number 9732756260 and fax number 9732756270. The mailing address for Kwang Soo Bae is 106 Prospect Street, South Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kwang Soo Bae
Address 106 Prospect Street, South Orange, New Jersey
Phone Number 9732756260
Fax Number 9732756270
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1891967733
Provider Enumeration Date 2008-04-01
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 106 Prospect Street
City South Orange
State New Jersey (NJ)
Post Code 70792112
Phone Number 9732756260
Fax Number 9732756270

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DI019644
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kwang Soo Bae

What is the unique 10-digit identification code assigned to Kwang Soo Bae by the Centers for Medicare & Medicaid Services?

The Kwang Soo Bae has been issued the NPI (National Provider Identifier) 1891967733, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kwang Soo Bae is located?

The Kwang Soo Bae is situated at the following address: 106 Prospect Street, South Orange, NJ, 70792112.

What is Kwang Soo Bae's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kwang Soo Bae is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did the Kwang Soo Bae receive its 1891967733?

The Kwang Soo Bae was issued its 1891967733 on 2008-04-01, which is the date when the organization was assigned this unique identifier.

When was the information regarding Kwang Soo Bae, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kwang Soo Bae, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-01.

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