Ro, Jungyoon

Ro, Jungyoon is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ro, Jungyoon can be contacted via phone (215) 707-7200.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Phone: (215) 707-7200
Fax: (215) 707-3831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP014916 Pennsylvania

Profile Details

NPI number 1770964546
LBN Legal business name Ro, Jungyoon
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated May 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770964546 NPPES
Pennsylvania MEDICAID 1007780130126

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