Organization
STANELY CHUNG, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY Y CHUNG (M.D.)
(301) 663-0131
Entity
Organization
Contact information
Practice address
187 THOMAS JOHNSON DR STE 1, FREDERICK, MD 21702-4396
(301) 663-0131
(301) 698-9449
Mailing address
187 THOMAS JOHNSON DR STE 1, FREDERICK, MD 21702-4445
(301) 663-0131
(301) 698-9449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0050309
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5522404400
—
MD
Enumeration date
02/08/2008
Last updated
06/17/2009
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