Individual
DR. ANDREW LI JEN KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
44 BINNEY ST, BOSTON, MA 02115
(617) 632-5731
(617) 582-8096
Mailing address
44 BINNEY ST, MAYER 649, BOSTON, MA 02115
(617) 632-5731
(617) 582-8096
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
150807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14375DF
HPHC DFCI ONLY
—
01
—
150807
TUFTS
—
01
—
2929488
AETNA US HEALTHCARE
—
05
—
3194191
—
MA
01
—
3390960
CIGNA
—
01
—
47199
FALLON COMMUNITY HEALTH P
—
01
—
900002559
RR MEDICARE DFCI
—
01
—
J19982
MASSACHUSETTS BCBS
—
Enumeration date
02/22/2006
Last updated
08/13/2007
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