Individual
MICHAEL HUNG PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
596 PAVONIA AVENUE, JERSEY CITY, NJ 07306
(201) 792-4996
(201) 792-9663
Mailing address
596 PAVONIA AVENUE, JERSEY CITY, NJ 07306
(201) 792-4996
(201) 792-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA42660
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00057199
UNITED HEALTHCARE
—
05
—
4016408
—
NJ
01
—
4093282
AETNA
—
01
—
HP007
OXFORD
—
Enumeration date
09/23/2006
Last updated
06/21/2013
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