Individual
HYUNGBOK H JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(203) 371-5873
Mailing address
5520 PARK AVE # WP2-100, TRUMBULL, CT 06611-3463
(203) 371-6969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8752
CT
Other
Enumeration date
03/17/2020
Last updated
05/29/2023
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