Individual
JUYONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4038
(860) 679-4600
(860) 679-1248
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
051808
CT
207RI0011X
Interventional Cardiology Physician
Primary
051808
CT
Other
Enumeration date
05/31/2008
Last updated
09/26/2022
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