Organization
THOMAS TAI CHUNG MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TAI CHUNG MD (OWNER/SOLE MEMBER)
(206) 320-2675
Entity
Organization
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 620, SEATTLE, WA 98122-5698
(206) 320-2675
(206) 320-4302
Mailing address
1600 E JEFFERSON ST, SUITE 620, SEATTLE, WA 98122-5698
(206) 320-2675
(206) 320-4302
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00038197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110657
—
WA
Enumeration date
04/08/2009
Last updated
04/08/2009
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