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Contact Information

JANGWOO LEE, MD
101 W MARKET AND CENTER ST
THOMPSON BLDG, STE 311
POTTSVILLE, PA17901
 Phone: 570-628-5625
 Fax: 570-628-0393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JANGWOO LEE · (Male)

NPI Number 1346241270
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD033378L
  • PA Medicaid 0006087630001
  • PA Other 02337000 BLUE CROSS
  • PA Other 15969 GEISINGER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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