Individual
DR. ANDREW LI JEN KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
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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