Lee Jung (NPI# 1932199288, PAC ID# 6709920366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1932199288 |
| PAC ID by PECOS | 6709920366 |
| Professional Enrollment ID | I20100219000464 |
| Full Name | Lee Jung |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
420 E Main St Branford CT 06405-2940 |
| Phone Number | 2034812280 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 E Main St, Branford, CT 06405-2940 | 2034812280 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
420 E MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip | 06405-2940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Belinda J Chan | Internal Medicine | Northeast Medical Group Inc | 420 E Main St, Branford, CT 06405-2940 |
| Alison Sullivan | Psychiatry | Ghvhs Medical Group PC | 420 E Main St, Middletown, NY 10940-2516 |
| Deborah D Desir | Rheumatology | Arthritis and Osteoporosis Center PC | 420 E Main St, Suite 13, Branford, CT 06405-2942 |
| Ryan Dillon | Nurse Practitioner | 420 E Main St, Suite 5, Branford, CT 06405-2941 | |
| Raymond J Ippolito | General Surgery | 420 E Main St, Building 2 Unit 5, Branford, CT 06405-2940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Youngquist | Optometry | 120 Commercial Pkwy, Branford, CT 06405-2537 | |
| Sushil Gupta | Pulmonary Disease | Pulmonary Care, PC | 14 Business Park Dr, Branford, CT 06405-2909 |
| Rachel Creevy D'errico | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
| Kyle Lynn Blomberg | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
| Gloria J Greenidge | Clinical Social Worker | 388 E Main St, Suite 3, Branford, CT 06405-2914 | |
| Jamelah T Stone | Clinical Social Worker | 500 E Main St, Suite 322, Branford, CT 06405-2929 | |
| Faith Levin-irwin | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Janet M Smith | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Justine Gillen | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Phyllis L Quinn | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Find all physicians in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRANFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lee Jung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.