Individual
DR. DANIEL C CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLK 4, BOSTON, MA 02114-2696
(617) 724-6004
(617) 724-5996
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
72977
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139328
—
MA
01
—
724682
TUFTS HEALTH PLAN
MA
01
—
J31267
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
08/06/2021
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