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Organization

STANLEY CHUNG, MD,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY CHUNG M.D. (OWNER)
(301) 663-0131
Entity
Organization

Contact information

Practice address
187 THOMAS JOHNSON DR, SUITE 1, FREDERICK, MD 21702-4503
(301) 663-0131
(301) 698-9449
Mailing address
187 THOMAS JOHNSON DR, SUITE 1, FREDERICK, MD 21702-4503
(301) 663-0131
(301) 698-9449

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1216120001
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
552240400
MD
Enumeration date
01/02/2009
Last updated
06/05/2013
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