Chan Dong Park in Martinsburg - Internal Medicine
Chan Dong Park - NPI 1407815665
Chan Dong Park is a Internal Medicine in Martinsburg, . Chan Dong Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Chan Dong Park is 1407815665. The last update date is 2007-07-08.
Chan Dong Park's current location address is 1002 Sushruta Dr, Martinsburg, . You can contact this provider via phone number 3042630913 and fax number 3042672917. The mailing address for Chan Dong Park is 1002 Sushruta Dr, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chan Dong Park |
|---|---|
| Address | 1002 Sushruta Dr, Martinsburg, |
| Phone Number | 3042630913 |
| Fax Number | 3042672917 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407815665 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1002 Sushruta Dr |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 254018897 |
| Phone Number | 3042630913 |
| Fax Number | 3042672917 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 17219 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75530000 | WV | -- |
Post Comment/ Review Below
What is the Chan Dong Park's 1407815665?
The Chan Dong Park's NPI (National Provider Identifier) Number is 1407815665. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Chan Dong Park's facilities are geographically located?
The facilities of Chan Dong Park are physically situated at the following location: 1002 Sushruta Dr, Martinsburg, WV, 254018897.
What is the Chan Dong Park's area of specialization and corresponding taxonomy classification?
The Chan Dong Park's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407815665 to Chan Dong Park?
The Centers for Medicare & Medicaid Services assigned the 1407815665 to Chan Dong Park on 2006-03-17.
As of what date were the details related to Chan Dong Park most recently updated or revised?
The information pertaining to Chan Dong Park, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.