| Chr Medical Pc | |
|
506 S Bethlehem Pike Ste 8 Fort Washington PA 19034-2111 | |
| (267) 627-0330 | |
| Not Available |
| Full Name | Chr Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 S Bethlehem Pike Ste 8, Fort Washington, Pennsylvania |
| Authorized Official Name and Position | Hack R Chung (OWNER/PRESIDENT) |
| Authorized Official Contact | 2676270330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chr Medical Pc 506 S Bethlehem Pike Ste 8 Fort Washington PA 19034-2111 Ph: (267) 627-0330 | Chr Medical Pc 506 S Bethlehem Pike Ste 8 Fort Washington PA 19034-2111 Ph: (267) 627-0330 |
| NPI Number | 1285496216 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 4385082510 |
|---|---|
| Medicare Enrollment ID | O20240405002524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285496216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hack R Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144394859 PECOS PAC ID: 0749248052 Enrollment ID: I20050103000475 |
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