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Individual

DR. ERIC EUI-SUN CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2003 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4893
(850) 878-2273
(850) 671-5900
Mailing address
2003 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4893
(850) 878-2273
(850) 671-5900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME99517
FL
2085R0001X
Radiation Oncology Physician
Primary
ME99517
FL
2085R0001X
Radiation Oncology Physician
N9188
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208302492
TAX ID
TX
01
270573017
TAX ID
TX
01
760528826
TAX ID
TX
01
760567660
TAX ID
TX
Enumeration date
07/16/2007
Last updated
10/12/2016
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