Se Jong Park is a Surgical Assistant in Portland, Maine. Se Jong Park practices all healthcare services and medical treatments related to Surgical Assistant. The NPI Number for Se Jong Park is 1962671545. The last update date is 2008-02-27.
Se Jong Park's current location address is 51 Illsley St, Portland, Maine. You can contact this provider via phone number 2077563621 and fax number 8883296432. The mailing address for Se Jong Park is 51 Illsley St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Se Jong Park |
|---|---|
| Address | 51 Illsley St, Portland, Maine |
| Phone Number | 2077563621 |
| Fax Number | 8883296432 |
| Sole Proprietor | Y |
| Credentials | CST AS-C |
NPI Number Detail
| NPI Number | 1962671545 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 51 Illsley St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41035110 |
| Phone Number | 2077563621 |
| Fax Number | 8883296432 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Assistant |
|---|---|
| Taxonomy | 246Zc0007X |
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Definition: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, c |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Se Jong Park by the Centers for Medicare & Medicaid Services?
The Se Jong Park has been issued the NPI (National Provider Identifier) 1962671545 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Se Jong Park is physically located?
The Se Jong Park is physically situated at the following address: 51 Illsley St, Portland, ME, 41035110.
What is Se Jong Park'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 Se Jong Park is Surgical Assistant, and the taxonomy classification code that categorizes this area of expertise is 246Zc0007X.
On what date was the 1962671545 assigned to Se Jong Park?
The Se Jong Park was issued its 1962671545 on 2008-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Se Jong Park's details last updated?
The information pertaining to the Se Jong Park, including its address, specialty, and other details, was most recently updated on 2008-02-27.