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Organization

PRACTICE OF DR. EDWIN CHUNG

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Organization

PRACTICE OF DR. EDWIN CHUNG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN K CHUNG MD (OWNER)
(941) 400-1700
Entity
Organization

Contact information

Practice address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 216-3103
(941) 921-1594
Mailing address
6247 ANISE DR, SARASOTA, FL 34238-5177
(941) 400-1700
(941) 921-1594

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RH0005X
Hypertension Specialist Physician
207RN0300X
Nephrology Physician

Other

Enumeration date
10/18/2018
Last updated
10/18/2018
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