Individual provider · Type 1 NPI

Jeongwi An

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1861374852 Active

Practice location

5300 Alpha Commons Dr
Baltimore, MD 21224-1750

Call (410) 550-6337 Map

Mailing address

2603 Putty Hill Ave Apt E
Parkville, MD 21234-4329

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 1861374852

Jeongwi An's National Provider Identifier is 1861374852, issued on Jul 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 22, 2025.