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Organization

CHAN K CHUNG M D P A

Active
Other names
Maryland Radiation Oncology Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAN K CHUNG M.D. (PRESIDENT)
(301) 891-5100
Entity
Organization

Contact information

Practice address
7600 CARROLL AVE, C/O WASHINGTON ADVENTIST HOSPITAL, TAKOMA PARK, MD 20912-6367
(301) 891-5100
(301) 891-5423
Mailing address
PO BOX 1400, FAIRFAX, VA 22038-1400
(703) 383-9543
(703) 383-9532

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D27870
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047349000
DC
05
364191100
MD
01
6567
DC CAREFIRST
DC
01
C31500
RR MEDICARE
01
C492CH
CAREFIRST OF MD
MD
Enumeration date
11/23/2005
Last updated
07/08/2010
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