Joung, Jae Keith
Joung, Jae Keith is an individual health care provider with primary practice located at 55 Fruit St Grb 235 Pathology Associates, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Joung, Jae Keith can be contacted via phone (617) 726-8887.Contact Information
Primary practice address
55 Fruit St Grb 235 Pathology Associates
Boston MA 02114-2696
Phone: (617) 726-8887
Fax: (617) 726-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 204131 | Massachusetts |
Profile Details
| NPI number | 1386628345 |
|---|---|
| LBN Legal business name | Joung, Jae Keith |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386628345 | NPPES |
| Massachusetts | MEDICAID | 0102911 | |
| Massachusetts | Other | 204131 | |
| Massachusetts | Other | J22414 |
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