Individual
DR. TAE S CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3939
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3939
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01034975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009110
—
IN
Enumeration date
08/01/2007
Last updated
10/30/2012
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