Individual
DERRICK Y. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
779 LAFAYETTE RD. UNIT 5, SEABROOK, NH 03874-4351
(603) 474-3781
(603) 574-4839
Mailing address
PO BOX 1251, SAUGUS, MA 01906-0551
(603) 574-4839
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
123639
IA
152W00000X
Optometrist
0859
NH
152W00000X
Optometrist
Primary
4758
MA
152W00000X
Optometrist
ODTG00564
RI
Other
Enumeration date
08/12/2009
Last updated
01/09/2024
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