Provider Demographics
NPI:1720215650
Name:YUN, JEONG H (MD)
Entity Type:Individual
Prefix:
First Name:JEONG
Middle Name:H
Last Name:YUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:CLINICS ADMINISTRATION BUILDING 3/ CA311
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-278-0375
Mailing Address - Fax:617-732-7421
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:CLINICS ADMINISTRATION BUILDING 3/ CA311
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-278-0375
Practice Address - Fax:617-732-7421
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA254282207RP1001X, 207RC0200X
PAMT194301390200000X
PAMD446990207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine