Individual
RAYMOND T CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5925
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70376
MA
207RG0100X
Gastroenterology Physician
Primary
70376
MA
207RT0003X
Transplant Hepatology Physician
70376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119416
—
MA
01
—
724686
TUFTS HEALTH PLAN
MA
01
—
J08593
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
11/12/2025
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