Organization
ROBERT J. BUNGE, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. BUNGE M.D. (PRESIDENT)
(859) 223-6700
Entity
Organization
Contact information
Practice address
3121 WALL ST, LEXINGTON, KY 40513-1711
(859) 223-6700
(859) 223-5202
Mailing address
3121 WALL ST, LEXINGTON, KY 40513-1711
(859) 223-6700
(859) 223-5202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048820
ANTHEM
KY
01
—
1396727079
INDIVIDUAL PROVIDER NPI
KY
05
—
64225238
—
KY
Enumeration date
04/18/2007
Last updated
07/25/2007
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