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Individual

SHIRLEY W. CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
147 MILK ST, OBSTETRICS&GYNECOLOGY DEPARTMENT, BOSTON, MA 02109-4806
(617) 654-7280
(617) 654-7363
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7280
(617) 654-7363

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
205602
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020164
NEIGHBORHOOD HEALTH PLAN
MA
05
0106381
MA
01
205602
TUFTS HEALTH PLAN
MA
01
8786893-001
CIGNA
MA
01
G435
HARVARD PILGRIM
MA
01
J22802
BLUE CROSS
MA
Enumeration date
04/27/2006
Last updated
10/28/2020
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