Lee, Augustine Sang Yoon
Lee, Augustine Sang Yoon is an individual health care provider with primary practice located at 905 Stuyvesant Avenue , Trenton NJ 08618-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Augustine Sang Yoon can be contacted via phone (609) 393-4220.Contact Information
Primary practice address
905 Stuyvesant Avenue
Trenton NJ 08618-4021
Phone: (609) 393-4220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA35694 | New Jersey |
Profile Details
| NPI number | 1255478269 |
|---|---|
| LBN Legal business name | Lee, Augustine Sang Yoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| 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 | 1255478269 | NPPES |
| New Jersey | MEDICAID | 1300709 |
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