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Individual

JHUNG WOOCK JHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 RESERVOIR AVE, SUITE 104 & 301B, CRANSTON, RI 02910-4448
(401) 275-8110
(401) 275-8116
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
4564
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0124684
CIGNA
RI
01
440985
WELLCARE
FL
01
7963433
AETNA
RI
01
AA469185
HARVARD PILGRIM
RI
01
P01699012
RR MEDICARE
FL
Enumeration date
05/17/2007
Last updated
10/20/2016
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