Individual
DR. CHIN HUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032
(179) 433-4596
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(617) 943-3459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
157566
MA
207R00000X
Internal Medicine Physician
294288
NY
207RG0100X
Gastroenterology Physician
157566
MA
207RG0100X
Gastroenterology Physician
Primary
294288
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192465
—
MA
01
—
157566
TUFTS HEALTH PLAN
MA
01
—
J24675
BCBS MA
MA
Enumeration date
08/04/2006
Last updated
06/14/2018
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