Sang Won Dacri-Kim in Newark - Vascular Surgery

Sang Won Dacri-Kim - NPI 1043385529

Sang Won Dacri-Kim is a Vascular Surgery in Newark, Ohio. Sang Won Dacri-Kim practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Sang Won Dacri-Kim is 1043385529. The last update date is 2010-11-23.

Sang Won Dacri-Kim's current location address is 1970 Tamarack Rd., Newark, Ohio. You can contact this provider via phone number 7403442452 and fax number 7405227305. The mailing address for Sang Won Dacri-Kim is 1970 Tamarack Rd., Newark, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Sang Won Dacri-Kim
Address 1970 Tamarack Rd., Newark, Ohio
Phone Number 7403442452
Fax Number 7405227305
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1043385529
Provider Enumeration Date 2006-11-21
Last Updated Date 2010-11-23

Provider Mailing Address Detail

Address 1970 Tamarack Rd.
City Newark
State Ohio (OH)
Post Code 43055
Phone Number 7403442452
Fax Number 7405227305

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 34006602
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2028577 OH --
P00397004 OH RAILROAD MEDICARE

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FAQs about Sang Won Dacri-Kim

What is the Sang Won Dacri-Kim's 1043385529?

The Sang Won Dacri-Kim's NPI (National Provider Identifier) Number is 1043385529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Sang Won Dacri-Kim is located?

The Sang Won Dacri-Kim is situated at the following address: 1970 Tamarack Rd., Newark, OH, 43055.

What is Sang Won Dacri-Kim's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sang Won Dacri-Kim's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.

On what date was the 1043385529 assigned to Sang Won Dacri-Kim?

The Sang Won Dacri-Kim was issued its 1043385529 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Sang Won Dacri-Kim most recently updated or revised?

The details related to Sang Won Dacri-Kim, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-23.

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