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Organization
JUNG S LEE MD, PC
Active
Organization
JUNG S LEE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG SOOK LEE MD (OWNER)
(610) 678-3007
Entity
Organization
Contact information
Practice address
320 ABINGTON DR, SUITE #1, WYOMISSING, PA 19610-1898
(610) 678-3007
(610) 678-9845
Mailing address
320 ABINGTON DR, SUITE #1, WYOMISSING, PA 19610-1898
(610) 678-3007
(610) 678-9845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD037840L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006542100007
—
PA
01
—
068267
MEDICARE GROUP ID NUMBER
PA
Enumeration date
07/23/2006
Last updated
07/31/2007
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