Individual
DR. ERICA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7396
(401) 444-5527
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7396
(401) 444-5527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13618
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD13618
LICENSE
RI
Enumeration date
05/29/2008
Last updated
07/08/2011
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