Individual
KAI B CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1676 E LANDIS AVE, VINELAND, NJ 08361
(856) 696-6431
(856) 794-5803
Mailing address
8 MICHAEL ROAD, SICKLERVILLE, NJ 08081
(856) 309-8660
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA 032024
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129336B1H
MEDICARE BILLING ID
NJ
05
—
4474201
—
NJ
Enumeration date
11/15/2006
Last updated
01/18/2012
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