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Individual

DR. JOSE JUAN CHUNG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 286-2222
Mailing address
8606 MILLCHASE CT, MONTGOMERY, AL 36117-8864
(334) 288-7615
(334) 284-1767

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19309
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051032529CHU
BLUECROSS BLUESHIELD
AL
Enumeration date
01/11/2007
Last updated
09/20/2019
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