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Physician Compare National (NPI:1053505966)

HEALTHCARE PROVIDER: JUNG J NOH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1053505966
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2163683277
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120417000872
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NOH
Individual professional last name
Provider First Name JUNG
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1968
Individual professional's medical school graduation year
Primary Specialty ALLERGY/IMMUNOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2001 N MACARTHUR BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 340
Group Practice or individual's line 2 address
City IRVING
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750612253
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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