Individual
JUSTIN KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, DEPARTMENT OF RADIOLOGY BIDMC, BOSTON, MA 02215-5400
(267) 979-8600
Mailing address
77 POND AVE APT 605, BROOKLINE, MA 02445-7113
(617) 731-0520
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
240038
MA
Other
Enumeration date
03/28/2009
Last updated
07/30/2010
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