Individual
DR. THOMAS CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
663 PALISADE AVE STE 304, CLIFFSIDE PARK, NJ 07010-3012
(201) 313-1933
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
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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