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JU YOUNG BAE
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1821557968
Individual Registrant: JU YOUNG BAE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5 PERRYRIDGE RD GREENWICH, CT 06830-4608 US
Tel: 203-863-3409 Fax: --
Tel: 203-863-3409 Fax: --
Contact information for business:
5 PERRYRIDGE RD GREENWICH, CT 06830-4608 US
Tel: 203-863-3409 Fax: --
Tel: 203-863-3409 Fax: --
Registration Information:
NPI: 1821557968
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
