Individual
TAESUN P CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 POST RD, SUITE 305, FAIRFIELD, CT 06824-5730
(203) 254-3242
(203) 254-3664
Mailing address
2800 MAIN ST, ST.VINCENT'S MULTISPECIALTY GROUP, BRIDGEPORT, CT 06606-4201
(203) 576-5346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033428
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001334284
—
CT
01
—
00133428403
BLUE CARE
CT
01
—
00133428CT06
ANTHEM
CT
01
—
061610160
COM HEALTH
CT
01
—
0V7442
PHS
CT
01
—
171024
PREF ONE
CT
01
—
2508643
AETNA
CT
01
—
746514
CTCARE
CT
01
—
ZP245
OXFORD
CT
Enumeration date
07/12/2006
Last updated
10/02/2014
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