Chung Primary Care Pc | |
1400 Willow Ave Frnt Elkins Park PA 19027-3106 | |
(732) 447-3264 | |
Not Available |
Full Name | Chung Primary Care Pc |
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Speciality | Clinic/Center |
Location | 1400 Willow Ave Frnt, Elkins Park, Pennsylvania |
Authorized Official Name and Position | Hack R Chung (PRESIDENT) |
Authorized Official Contact | 7324473264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chung Primary Care Pc 1400 Willow Ave Frnt Elkins Park PA 19027-3106 Ph: (732) 447-3264 | Chung Primary Care Pc 1400 Willow Ave Frnt Elkins Park PA 19027-3106 Ph: (732) 447-3264 |
NPI Number | 1043901606 |
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Provider Enumeration Date | 05/16/2023 |
Last Update Date | 05/16/2023 |
Medicare PECOS PAC ID | 5991152373 |
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Medicare Enrollment ID | O20231107000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043901606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Hack R Chung |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144394859 PECOS PAC ID: 0749248052 Enrollment ID: I20050103000475 |
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