Individual
RYAN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST # 270, BOSTON, MA 02114-2621
(617) 643-2009
Mailing address
55 FRUIT ST # 270, BOSTON, MA 02114-2696
(617) 643-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
281850
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
11/12/2021
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