Organization
JULIAN UNGAR-SARGON MD PHD
Active
Other names
Neurology and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN Y UNGAR-SARGON MD, PHD (OWNER / MD)
(219) 866-7222
Entity
Organization
Contact information
Practice address
123 S MCKINLEY AVE, RENSSELAER, IN 47978
(219) 866-7222
(219) 866-7001
Mailing address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-7222
(219) 866-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01040129A
IN
208VP0000X
Pain Medicine Physician
01040129A
IN
208VP0014X
Interventional Pain Medicine Physician
01040129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200210770
—
IN
Enumeration date
01/19/2012
Last updated
06/29/2018
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