Bae, Andrew Chungsup

Bae, Andrew Chungsup is an sole proprietor health care provider with primary practice located at 422 Main St , Fort Lee NJ 07024-2861. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bae, Andrew Chungsup can be contacted via phone (201) 585-1669.

Contact Information

Primary practice address
422 Main St Fort Lee NJ 07024-2861
Phone: (201) 585-1669
Fax: (201) 585-2315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02256500 New Jersey

Profile Details

NPI number 1992859862
LBN Legal business name Bae, Andrew Chungsup
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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