Individual
DR. JONG CHU JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 YAPHANK ROAD, SUITE 16, EAST PATCHOGUE, NY 11772
(631) 654-2266
(631) 654-1122
Mailing address
250 YAPHANK ROAD, SUITE 16, EAST PATCHOGUE, NY 11772
(631) 654-2266
(631) 654-1122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
128588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00629658
—
NY
01
—
312391
BCBS
NY
Enumeration date
09/08/2006
Last updated
07/08/2007
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