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 |
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Address | 11100 Euclid Ave, Cleveland, Ohio |
Phone Number | 2168447700 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1437333515 |
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Provider Enumeration Date | 2007-12-24 |
Last Updated Date | 2013-05-29 |
Provider Mailing Address Detail
Address | 11100 Euclid Ave |
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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 |
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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 |
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63239 | OH | -- |
Post Comment/ Review Below
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.