Individual
DR. THOMAS CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA06942200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0S0161
EMPIRE BC/BS (ENGLEWOOD)
NJ
01
—
0S0162
EMPIRE BC/BS (CLIFFSIDE)
NJ
01
—
1099322
GHI PPO ID #
NJ
01
—
1K7857
HEALTHNET ID #
NJ
01
—
2833085000
AMERIHEALTH
NJ
01
—
P1881701
OXFORD ID #
NJ
Enumeration date
10/26/2005
Last updated
03/07/2022
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