Individual provider · Type 1 NPI

Seongwon Jeon, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1760301212 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Call (203) 709-6424 Map

Mailing address

106 Stonebridge Ct Apt 4108
Cheshire, CT 06410-5408

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 1760301212

Seongwon Jeon, MD's National Provider Identifier is 1760301212, issued on Jul 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 10, 2026.