Individual provider · Type 1 NPI

Jaeun Ahn, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1508553868 Active · reactivated Jan 9, 2024

Practice location

330 Brookline Ave
Boston, MA 02215-5491

Mailing address

Eastern Virginia Medical School, 825 Fairfax Ave
Norfolk, VA 23507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508553868

Jaeun Ahn, MD's National Provider Identifier is 1508553868, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 12, 2026.