Individual
DR. JUDY JISOO AEUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
20397 EARL ST, TORRANCE, CA 90503-7422
(808) 476-4568
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
238032-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238032-1
MEDICAL LICENSE NUMBER
NM
Enumeration date
08/02/2006
Last updated
04/14/2022
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