Individual
JAE W CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-7200
(607) 937-7866
Mailing address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-7200
(607) 937-7866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07546600
NJ
207L00000X
Anesthesiology Physician
Primary
2348/23
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040886
—
NJ
Enumeration date
05/23/2005
Last updated
01/27/2017
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