Individual
CHUNG HO SHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
417 STATE ST, WEBBER WEST 541, BANGOR, ME 04401-6641
(207) 941-8200
Mailing address
25 SARATOGA AVE, BANGOR, ME 04401-4218
(207) 945-5795
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
017501
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A98612
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD428108
PA
Other
Enumeration date
01/24/2007
Last updated
07/23/2007
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