Doctor Name: | BYUNGHAK JIN |
NPI Number: | 1013277268 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD032689L |
Business Practice Address: | 169 Progress Dr Waynesburg, PA - 153708082 |
Business Phone Number: | 7246274696 |
Business Fax Number: | 7246274280 |
Mailing Address: | 169 Progress Dr, WAYNESBURG |
State: | PA |
Postal Code: | 153708082 |
Phone Number: | 7246274696 |
Fax Number: | 7246274280 |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD032689L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |