Jacob Ly Duong in Camp Lejeune - Aerospace Medicine
Jacob Ly Duong - NPI 1104957190
Jacob Ly Duong is a Aerospace Medicine in Camp Lejeune, North Carolina. Jacob Ly Duong practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for Jacob Ly Duong is 1104957190. The last update date is 2022-05-18.
Jacob Ly Duong's current location address is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104496126. The mailing address for Jacob Ly Duong is 100 Brewster Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Ly Duong |
|---|---|
| Address | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Phone Number | 9104496126 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1104957190 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2022-05-18 |
Provider Mailing Address Detail
| Address | 100 Brewster Blvd |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 285472575 |
| Phone Number | 9104496126 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Aerospace Medicine |
|---|---|
| Taxonomy | 2083A0100X |
| Licence No | OS11893 |
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Definition: Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl |
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What is the Jacob Ly Duong's 1104957190?
The Jacob Ly Duong's NPI (National Provider Identifier) Number is 1104957190. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Ly Duong located?
The Jacob Ly Duong is located at 100 Brewster Blvd, Camp Lejeune, NC 285472575.
What is Jacob Ly Duong'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 Jacob Ly Duong is Aerospace Medicine, and the taxonomy classification code that categorizes this area of expertise is 2083A0100X.
On what date did the Jacob Ly Duong receive its 1104957190 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Ly Duong was assigned its 1104957190 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date was the information regarding Jacob Ly Duong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacob Ly Duong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-05-18.
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