Jang, Ik-Kyung
Jang, Ik-Kyung is an individual health care provider with primary practice located at 55 Fruit St Grb 843, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jang, Ik-Kyung can be contacted via phone (617) 726-9226.Contact Information
Primary practice address
55 Fruit St Grb 843
Boston MA 02114-2696
Phone: (617) 726-9226
Fax: (617) 726-7419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 74943 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 74943 | Massachusetts |
Profile Details
| NPI number | 1811988454 |
|---|---|
| LBN Legal business name | Jang, Ik-Kyung |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811988454 | NPPES |
| Massachusetts | Other | J13278 | BCBS MA |
| Massachusetts | MEDICAID | 3101738 | BCBS MA |
| Massachusetts | Other | 074943 | BCBS MA |
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