Justin Park in Glen Burnie - Orthopaedic Surgery Of The Spine
Justin Park - NPI 1265625941
Justin Park is a Orthopaedic Surgery Of The Spine in Glen Burnie, Maryland. Justin Park practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Justin Park is 1265625941. The last update date is 2013-04-15.
Justin Park's current location address is 1600 Crain Hwy S, Glen Burnie, Maryland. You can contact this provider via phone number 4107685050 and fax number 4107687830. The mailing address for Justin Park is 1600 Crain Hwy S, Glen Burnie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Park |
|---|---|
| Address | 1600 Crain Hwy S, Glen Burnie, Maryland |
| Phone Number | 4107685050 |
| Fax Number | 4107687830 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265625941 |
|---|---|
| Provider Enumeration Date | 2007-08-25 |
| Last Updated Date | 2013-04-15 |
Provider Mailing Address Detail
| Address | 1600 Crain Hwy S |
|---|---|
| City | Glen Burnie |
| State | Maryland (MD) |
| Post Code | 210615577 |
| Phone Number | 4107685050 |
| Fax Number | 4107687830 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 43955 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253616 | MD | JHHC | |
| 6831-0019 | MD | CAREFIRST | |
| K007170 | KY | MEDICARE PTAN-- NORTON LEATHER | |
| 231508400 | MD | -- | |
| 6029607 | MD | CIGNA | |
| 9804676 | MD | AETNA PPO | |
| 8543972 | MD | AETNA HMO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Justin Park by the Centers for Medicare & Medicaid Services?
The Justin Park has been issued the NPI (National Provider Identifier) 1265625941, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Justin Park?
The Justin Park is situated at 1600 Crain Hwy S, in the city of Glen Burnie, state of MD, with the zip code 210615577.
What is Justin Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Park is Orthopaedic Surgery Of The Spine, and the taxonomy code that categorizes this field of expertise is 207Xs0117X.
On what date did the Justin Park receive its 1265625941 assignment from the Centers for Medicare & Medicaid Services?
The Justin Park was assigned its 1265625941 by the Centers for Medicare & Medicaid Services on 2007-08-25.
When was the information regarding Justin Park most recently updated?
The details pertaining to the Justin Park, including its address, specialty, and other relevant information, were last refreshed on 2013-04-15.