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Individual
DR. EDWARD CHUNG
Active
Individual
DR. EDWARD CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200100662
NC
208M00000X
Hospitalist Physician
Primary
200100662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238891
RAILROAD MEDICARE
NC
01
—
1174510804
RAILROAD MEDICARE
NC
01
—
132F2
BLUECROSS BLUESHIELD
NC
05
—
89132F2
—
NC
05
—
N00663
—
SC
Enumeration date
09/27/2005
Last updated
10/25/2020
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