Organization
DR CHUNG MEDICAL CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAEYANG CHUNG M.D. (PRESIDENT)
(201) 313-1500
Entity
Organization
Contact information
Practice address
11 E HARWOOD TER, PALISADES PARK, NJ 07650-1424
(201) 313-1500
(201) 941-4157
Mailing address
11 E HARWOOD TER, PALISADES PARK, NJ 07650-1424
(201) 313-1500
(201) 941-4157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA5927500
NJ
208000000X
Pediatrics Physician
25MA5927500
NJ
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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