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:
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Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386628345 NPPES
Massachusetts MEDICAID 0102911
Massachusetts Other 204131
Massachusetts Other J22414

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