Jung, Lee
Jung, Lee is an individual health care provider with primary practice located at 150 Sargent Dr , New Haven CT 06511-6110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jung, Lee can be contacted via phone (203) 781-4444.Contact Information
Primary practice address
150 Sargent Dr
New Haven CT 06511-6110
Phone: (203) 781-4444
Fax: (203) 789-8341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0293435 | Connecticut |
Profile Details
| NPI number | 1932199288 |
|---|---|
| LBN Legal business name | Jung, Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 17th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932199288 | NPPES |
| Connecticut | MEDICAID | 001293456 | |
| Connecticut | Other | 11019664 |
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