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Jefferson Park Pediatrics P C
Pediatrics Physician in Fort Wayne, Indiana
NPI 1629263181

Jefferson Park Pediatrics P C is a Pediatrics Physician based in Fort Wayne, IN. Jefferson Park Pediatrics P C practices in Fort Wayne, IN. The NPI Number for Jefferson Park Pediatrics P C is 1629263181 and holds a License No. (Indiana).

The current practice location address for Jefferson Park Pediatrics P C is 3919 W Jefferson Blvd Ste 1, Fort Wayne, IN and can be reached out via phone at 260-436-7722 and via fax at 260-459-0012. You can also correspond with Jefferson Park Pediatrics P C through the mailing address at 3919 W JEFFERSON BLVD STE 1, FORT WAYNE, IN - 46804-6811 (mailing address contact number: 260-436-7722).

Location: 3919 W Jefferson Blvd Ste 1, Fort Wayne, IN, 46804-6811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629263181
Provider Name
Jefferson Park Pediatrics P C
Credential
Provider Entity Type
Organization
Address
3919 W Jefferson Blvd Ste 1, Fort Wayne, IN, 46804-6811
Phone Number
260-436-7722
Fax Number
260-459-0012
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200262620 05 IN
institution
Provider Business Practice Location Address Details
Address
3919 W Jefferson Blvd Ste 1
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
260-459-0012
person
Provider Business Mailing Address Details
Address
3919 W Jefferson Blvd Ste 1
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
260-459-0012
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
()
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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