Dominique M. Jan in Bronx - Pediatric Surgery
Dominique M. Jan - NPI 1790726982
Dominique M. Jan is a Pediatric Surgery in Bronx, New York. Dominique M. Jan practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Dominique M. Jan is 1790726982. The last update date is 2012-01-19.
Dominique M. Jan's current location address is 3355 Bainbridge Ave, Bronx, New York. You can contact this provider via phone number 7189207200 and fax number 7185472929. The mailing address for Dominique M. Jan is 3355 Bainbridge Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique M. Jan |
|---|---|
| Address | 3355 Bainbridge Ave, Bronx, New York |
| Phone Number | 7189207200 |
| Fax Number | 7185472929 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790726982 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 3355 Bainbridge Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104672801 |
| Phone Number | 7189207200 |
| Fax Number | 7185472929 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 250182 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2729091 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dominique M. Jan by the Centers for Medicare & Medicaid Services?
The Dominique M. Jan has been assigned the NPI (National Provider Identifier) 1790726982. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dominique M. Jan is located?
The Dominique M. Jan is situated at the following address: 3355 Bainbridge Ave, Bronx, NY, 104672801.
What is the area of specialization for Dominique M. Jan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dominique M. Jan is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
When did Dominique M. Jan receive its 1790726982 assignment?
The Dominique M. Jan was assigned its 1790726982 on 2006-06-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Dominique M. Jan most recently updated or revised?
The details related to Dominique M. Jan, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-19.