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Individual

SAMUEL CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
230 SCHILLING CIRCLE STE 170, ATTN: MARY ELLEN CUTHIE, HUNT VALLEY, MD 21031-1417
(410) 296-4616
(410) 337-5068

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0062611
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407885300
MD
Enumeration date
01/03/2006
Last updated
10/29/2019
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