Jun Tae Park in Cleveland - Neurology With Special Qualifications In Child Neurology

Jun Tae Park - NPI 1437333515

Jun Tae Park is a Neurology With Special Qualifications In Child Neurology in Cleveland, Ohio. Jun Tae Park practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Jun Tae Park is 1437333515. The last update date is 2013-05-29.

Jun Tae Park's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168447700. The mailing address for Jun Tae Park is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jun Tae Park
Address 11100 Euclid Ave, Cleveland, Ohio
Phone Number 2168447700
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1437333515
Provider Enumeration Date 2007-12-24
Last Updated Date 2013-05-29

Provider Mailing Address Detail

Address 11100 Euclid Ave
City Cleveland
State Ohio (OH)
Post Code 441061716
Phone Number 2168447700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 5922577-1205
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
63239 OH --

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FAQs about Jun Tae Park

What is the unique 10-digit identification code assigned to Jun Tae Park by the Centers for Medicare & Medicaid Services?

The Jun Tae Park has been issued the NPI (National Provider Identifier) 1437333515, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jun Tae Park's physical address?

The Jun Tae Park is physically located at 11100 Euclid Ave, in the city of Cleveland, OH, with the postal code 441061716.

What is Jun Tae Park's area of expertise and its corresponding taxonomy classification?

The Jun Tae Park's field of specialization is Neurology With Special Qualifications In Child Neurology, and it falls under the taxonomy code 2084N0402X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1437333515 assigned to Jun Tae Park?

The Jun Tae Park was issued its 1437333515 on 2007-12-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jun Tae Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jun Tae Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-29.

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