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Individual

DR. JOHNNY S CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD418041
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD418041
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14276474
TRICARE
PA
01
1782238
HIGHMARK BLUE SHIELD
PA
01
20049019
AMERIHEALTH MERCY
PA
01
2579683000
PERSONAL CHOICE
PA
01
414517
HEALTH ASSURANCE
PA
01
50054677
NCAS
PA
01
5819250
CIGNA
PA
01
7231688
AETNA
PA
01
820986
FIRST PRIORITY HEALTH
PA
01
97378
GEISINGER
PA
01
P3646893
OXFORD
PA
Enumeration date
01/11/2006
Last updated
08/19/2020
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