Jung Jang Hwan is a Specialist in Clarks Summit, Pennsylvania. Jung Jang Hwan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jung Jang Hwan is 1114928553. The last update date is 2007-07-08.
Jung Jang Hwan's current location address is 709 N State St, Clarks Summit, Pennsylvania. You can contact this provider via phone number 5705874394 and fax number 5705870300. The mailing address for Jung Jang Hwan is 709 N State St, Clarks Summit, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jung Jang Hwan |
|---|---|
| Address | 709 N State St, Clarks Summit, Pennsylvania |
| Phone Number | 5705874394 |
| Fax Number | 5705870300 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114928553 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 709 N State St |
|---|---|
| City | Clarks Summit |
| State | Pennsylvania (PA) |
| Post Code | 184119139 |
| Phone Number | 5705874394 |
| Fax Number | 5705870300 |
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 |
|---|---|---|---|
| 1060147703 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jung Jang Hwan?
The Jung Jang Hwan has been issued the NPI (National Provider Identifier) 1114928553 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jung Jang Hwan is geographically located?
The Jung Jang Hwan is physically situated at the following location: 709 N State St, Clarks Summit, PA, 184119139.
What is Jung Jang Hwan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jung Jang Hwan is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Jung Jang Hwan receive its 1114928553 assignment from the Centers for Medicare & Medicaid Services?
The Jung Jang Hwan was assigned its 1114928553 on 2005-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jung Jang Hwan most recently updated or revised?
The information pertaining to Jung Jang Hwan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.