Lee, Jangwoo

Lee, Jangwoo is an individual health care provider with primary practice located at 101 W Market And Center St Thompson Bldg, Ste 311, Pottsville PA 17901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lee, Jangwoo can be contacted via phone (570) 628-5625.

Contact Information

Primary practice address
101 W Market And Center St Thompson Bldg, Ste 311 Pottsville PA 17901
Phone: (570) 628-5625
Fax: (570) 628-0393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD033378L Pennsylvania

Profile Details

NPI number 1346241270
LBN Legal business name Lee, Jangwoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 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 1346241270 NPPES
Pennsylvania Other 15969 GEISINGER
Pennsylvania MEDICAID 0006087630001 GEISINGER
Pennsylvania Other 02337000 GEISINGER

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