Sang Yub Lee, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, CT. Individual provider (NPI-1).
NPI number1548064033
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1548064033
- Entity type
- Individual (NPI-1)
- Name
- Sang Yub Lee
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2025
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2800 Main StreetDepartment Of Medical Education
Bridgeport, CT 06606
Phone 475-210-5425 · Fax 475-210-5022
Mailing address
2800 Main StreetDepartment Of Medical Education
Bridgeport, CT 06606
Phone 475-210-5425 · Fax 475-210-5022
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