Individual
DR. GRACE U CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 W. RED BANK AVE, SUITE 205, WOODBURY, NJ 08096
(856) 853-0900
(856) 853-5838
Mailing address
17 W. RED BANK AVE, SUITE 205, WOODBURY, NJ 08096
(856) 853-0900
(856) 853-5838
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA05549000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0463503000
AMERIHEALTH
NJ
05
—
1971808
—
NJ
05
—
197180801
—
NJ
01
—
24034
AETNA US HEALTHCARE
NJ
01
—
633461
BLUE SHIELD
NJ
Enumeration date
11/15/2005
Last updated
07/11/2013
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