Individual provider · Type 1 NPI

Eugene Jeong Lee

Student in an Organized Health Care Education/Training Program · Montclair, NJ

NPI number 1740145150 Active

Practice location

1 Normal Ave
Montclair, NJ 07043-1624

Call (201) 316-7736 Map

Mailing address

400 Fairview Ave Apt 4C
Fort Lee, NJ 07024-3876

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740145150

Eugene Jeong Lee's National Provider Identifier is 1740145150, issued on Dec 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, NJ. The record was last updated on Dec 17, 2025.