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1861011165
SEONGHO JOHN JEONG
NEW HAVEN, CT
NPI
1861011165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
SEONGHO JOHN JEONG MD
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
SEONGHO JOHN JEONG MD
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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