Seongwon Jeon, MD
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
1760301212- Practice location
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281
- Phone
- 203-709-6424
- Fax
- —
- Last updated
- July 10, 2026
Seongwon Jeon is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Seongwon Jeon practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Seongwon Jeon is 1760301212. The current practice location address for Seongwon Jeon is 56 Franklin St Ste 1, Waterbury, CT 06706-1281 and can be reached out via phone at 203-709-6424.
Provider Profile Details
- NPI Number
- 1760301212
- Provider Name
- Seongwon Jeon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 56 Franklin St Ste 1, Waterbury, CT 06706-1281
- Phone Number
- 203-709-6424
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2026
- Last Update Date
- July 10, 2026
- Certification Date
- July 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St Ste 1
Waterbury, CT 06706-1281 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1281
- Phone Number
- 203-709-6424
Provider Business Mailing Address Details
- Address
- 106 Stonebridge CT Apt 4108
Cheshire, CT 06410-5408 - City
- Cheshire
- State
- CT
- Zip
- 06410-5408
- Phone Number
- 248-250-0336
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Seongwon Jeon, MD?
The NPI number of Seongwon Jeon, MD is 1760301212. It was assigned on July 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Seongwon Jeon, MD?
Seongwon Jeon, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Seongwon Jeon, MD practice?
The practice location is 56 Franklin St Ste 1, Waterbury, CT 06706-1281. The office can be reached at 203-709-6424 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760301212 directly on the NPPES registry website.