Lance Jung MD

NPI 1053372003 - Surgery - 208600000X

NPI Details
NPI 1053372003
Gender Male
Enumeration Date 03/29/2006
Last Updated 11/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1050 CLOVE RD
STATEN ISLAND NY, 10301-3627, US
Phone (718) 816-6440
Fax (718) 816-3612
Business Location
2791 RICHMOND AVE
SUITE 201
STATEN ISLAND NY, 10314-5859, US
Phone (718) 816-6440
Fax
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 198410
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According to our database, Lance Jung MD NPI is 1053372003, taxonomy code is 208600000X and license number is 198410, license state is located at New York. Lance Jung MD physically located at 1050 Clove Rd, Staten Island NY, 10301-3627. NPI Number Lance Jung MD has the Individual type.

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1053372003 NPI number is provided on an as is basis without warranty of any kind. 1053372003 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Jung MD are for informational purposes only.