Search › Connecticut › 1223G0001X
Jae Yong Jung
NPI 1659788636 · on the registry since 2014
Practice
- Address
- 179 Deming St Ste A
Manchester, CT 06042 - Phone
- (860) 644-6500
- Organisation at this address
- Patrick Dermesropian Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 270 Concord St Ste 1, Framingham, MA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut