Individual
CHARLES CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 875-0555
Mailing address
9229 LYNDON B JOHNSON FWY, DALLAS, TX 75243-3405
(800) 346-0747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301084550
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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