Individual
EDWARD JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, SUITE 520, CINCINNATI, OH 45219-2906
(513) 585-1300
(513) 585-1358
Mailing address
2123 AUBURN AVE, SUITE 520, CINCINNATI, OH 45219-2906
(513) 585-1300
(513) 585-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35059690J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845134
—
OH
05
—
64957137
—
KY
Enumeration date
04/18/2006
Last updated
10/21/2020
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