Swbaik,Mdpa is a Specialist in Fort Lee, New Jersey. Swbaik,Mdpa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Swbaik,Mdpa is 1790746782. The last update date is 2011-07-11.
Swbaik,Mdpa's current location address is 1608 Lemoine Ave, Fort Lee, New Jersey. You can contact this provider via phone number 2013029774 and fax number 2014820664. The mailing address for Swbaik,Mdpa is 1608 Lemoine Ave, Fort Lee, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Swbaik,Mdpa |
|---|---|
| Address | 1608 Lemoine Ave, Fort Lee, New Jersey |
| Phone Number | 2013029774 |
| Fax Number | 2014820664 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Baik Won Seoung |
| Credentials | M.D. |
| Telephone Number | 2013029774 |
NPI Number Detail
| NPI Number | 1790746782 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2011-07-11 |
Provider Mailing Address Detail
| Address | 1608 Lemoine Ave |
|---|---|
| City | Fort Lee |
| State | New Jersey (NJ) |
| Post Code | 70245622 |
| Phone Number | 2013029774 |
| Fax Number | 2014820664 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3936406 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Swbaik,Mdpa by the Centers for Medicare & Medicaid Services?
The Swbaik,Mdpa has been assigned the NPI (National Provider Identifier) 1790746782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Swbaik,Mdpa?
The Swbaik,Mdpa is physically situated at 1608 Lemoine Ave, in the city of Fort Lee, state of NJ, with the postal code 70245622.
What is Swbaik,Mdpa'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 Swbaik,Mdpa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Swbaik,Mdpa's 1790746782 issued?
The Swbaik,Mdpa's 1790746782 was issued on 2006-03-29.
As of what date were the details related to Swbaik,Mdpa most recently updated or revised?
The information pertaining to Swbaik,Mdpa, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-11.