# JUNG S LEE MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497776348
- **Authorized official:** JUNG SOOK LEE MD (OWNER)
- **Authorized official phone:** (610) 678-3007

## Contact information

- **Practice address:** 320 ABINGTON DR, SUITE \#1, WYOMISSING, PA 19610-1898
- **Practice address phone:** (610) 678-3007
- **Practice address fax:** (610) 678-9845
- **Mailing address:** 320 ABINGTON DR, SUITE \#1, WYOMISSING, PA 19610-1898
- **Mailing address phone:** (610) 678-3007
- **Mailing address fax:** (610) 678-9845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD037840L | PA | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 07/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006542100007 | — | PA |
| 01 | — | 068267 | MEDICARE GROUP ID NUMBER | PA |