Individual provider · NPI-1

Dr. Tae H Jung, M.D.

Family Medicine · East Liverpool, OH

NPI number1831153006
StatusActive
Last updated in NPPESDec 13, 2013

Details

NPI
1831153006
Entity type
Individual (NPI-1)
Name
Dr. Tae H Jung
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Dec 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35078382JOHYes

Practice location

15424 Sprucevale Rd
East Liverpool, OH 43920-9200

Phone 330-382-0388 · Fax 330-382-0389

Mailing address

15424 Sprucevale Rd
East Liverpool, OH 43920-9200

Phone 330-382-0388 · Fax 330-382-0389

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