Tae Jung M.D., Inc. in East Liverpool - Family Medicine

Tae Jung M.D., Inc. - NPI 1306021878

Tae Jung M.D., Inc. is a Family Medicine in East Liverpool, Ohio. Tae Jung M.D., Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tae Jung M.D., Inc. is 1306021878. The last update date is 2013-12-13.

Tae Jung M.D., Inc.'s current location address is 15424 Sprucevale Rd, East Liverpool, Ohio. You can contact this provider via phone number 3303820388 and fax number 3303820389. The mailing address for Tae Jung M.D., Inc. is 15424 Sprucevale Rd, East Liverpool, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tae Jung M.D., Inc.
Address 15424 Sprucevale Rd, East Liverpool, Ohio
Phone Number 3303820388
Fax Number 3303820389
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jung Hui Tae
Credentials M.D.
Telephone Number 3303820388

NPI Number Detail

NPI Number 1306021878
Provider Enumeration Date 2008-01-03
Last Updated Date 2013-12-13

Provider Mailing Address Detail

Address 15424 Sprucevale Rd
City East Liverpool
State Ohio (OH)
Post Code 439209200
Phone Number 3303820388
Fax Number 3303820389

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 35078382J
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1306021878 OH NPI GROUP NUMBER
SP00791 OH MEDICARE GROUP NUMBER
2205527 OH --

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FAQs about Tae Jung M.D., Inc.

What is the Tae Jung M.D., Inc.'s 1306021878?

The Tae Jung M.D., Inc.'s NPI (National Provider Identifier) Number is 1306021878. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Tae Jung M.D., Inc. is located?

The Tae Jung M.D., Inc. is situated at the following address: 15424 Sprucevale Rd, East Liverpool, OH, 439209200.

What is Tae Jung M.D., Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tae Jung M.D., Inc. is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1306021878 to Tae Jung M.D., Inc.?

The Centers for Medicare & Medicaid Services assigned the 1306021878 to Tae Jung M.D., Inc. on 2008-01-03.

When was the information related to Tae Jung M.D., Inc. most recently updated or refreshed?

The details pertaining to the Tae Jung M.D., Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-12-13.

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