Individual
MS. PEGGY SUEJIN MYUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
15 YORK ST, LMP 5031, NEW HAVEN, CT 06510-3221
(215) 668-7559
Mailing address
360 STATE ST, APT 3103, NEW HAVEN, CT 06510-3601
(215) 668-7559
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
52769
CT
207ND0900X
Dermatopathology Physician
Primary
52769
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2008
Last updated
04/22/2014
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