Provider Demographics
NPI:1073889226
Name:JEE, SUNG BAE (MD)
Entity Type:Individual
Prefix:
First Name:SUNG BAE
Middle Name:
Last Name:JEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:386 MERRIMACK ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5886
Mailing Address - Country:US
Mailing Address - Phone:978-688-1220
Mailing Address - Fax:978-688-1330
Practice Address - Street 1:386 MERRIMACK ST STE 1C
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5886
Practice Address - Country:US
Practice Address - Phone:978-688-1220
Practice Address - Fax:978-688-1330
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2019-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH17111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine