Individual
DR. IK-KYUNG JANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, GRB 843, BOSTON, MA 02114-2696
(617) 726-9226
(617) 726-7419
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
74943
MA
207RI0011X
Interventional Cardiology Physician
Primary
74943
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074943
TUFTS HEALTH PLAN
MA
05
—
3101738
—
MA
01
—
J13278
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
09/11/2025
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