Provider Demographics
NPI:1285722140
Name:BANG, BYUNG-KEE (MD)
Entity type:Individual
Prefix:
First Name:BYUNG-KEE
Middle Name:
Last Name:BANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SCHALKS CROSSING RD
Mailing Address - Street 2:SUITE 720
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3030
Mailing Address - Country:US
Mailing Address - Phone:609-799-4644
Mailing Address - Fax:609-799-4614
Practice Address - Street 1:9 SCHALKS CROSSING RD
Practice Address - Street 2:SUITE 720
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-799-4644
Practice Address - Fax:609-799-4614
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA39044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3106209Medicaid
C55025Medicare UPIN
NJ093471Medicare ID - Type Unspecified