Individual
JASON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.010449
OH
207L00000X
Anesthesiology Physician
Primary
ME104807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146Q4
BCBS
FL
01
—
P00776737
RAILROAD
FL
Enumeration date
04/13/2007
Last updated
02/04/2010
Update your record
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