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NPI Code Detail

MEDICARE: MICHAEL AHN DO

MEDICARE: MICHAEL AHN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician215848NY
2207V00000XObstetrics & Gynecology Physician25MB06706900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578598314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL AHN DO
Provider Business Mailing Address
First Line : PO BOX 821034
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-1034
Country : US
Telephone Number : 973-429-8082
Fax Number : 973-748-0586
Provider Business Practice Location Address
First Line : 122 CLINTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-2502
Country : US
Telephone Number : 201-418-1415
Fax Number : 201-418-3148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/23/2024

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Directions to “ MICHAEL AHN DO” Practice Location

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