Individual
MICHAEL T CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8554
Mailing address
7703 FLOYD CURL DR # MC7844, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
4301506730
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
1021860
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
BP10082298
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
04/26/2026
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