DR. JAE HONG PARK
NPI 1396407011
Otolaryngology in Detroit, MI
About Dr. Jae Hong Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAE HONG PARK (NPI 1396407011) is an individual otolaryngology provider in Detroit, Michigan, licensed in Michigan (4351048809) and active in the NPI registry since October 2021.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jae Park's NPI number?
The NPI number for Jae Park is 1396407011. It was assigned to this individual provider in the NPPES registry on October 11, 2021.
Where is Jae Park located?
Jae Park practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (248) 854-4576.
What is Jae Park's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
When was this NPI record last updated?
The NPPES record for Jae Park was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.