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NPI Code Detail

MEDICARE: MEEJIN AHN DO

MEDICARE: MEEJIN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MB10539100NJ

General Provider Information

NPI Number : 1205272978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEEJIN AHN DO
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number :
Provider Business Practice Location Address
First Line : 1 RIVERVIEW PLZ
Second Line :
City : RED BANK
State : NJ
Zip : 07701-1864
Country : US
Telephone Number : 732-741-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 06/09/2026

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