Dr Chung Medical Clinic P C | |
11 E Harwood Ter Palisades Park NJ 07650-1424 | |
(201) 313-1500 | |
(201) 941-4157 |
Full Name | Dr Chung Medical Clinic P C |
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Speciality | Internal Medicine |
Location | 11 E Harwood Ter, Palisades Park, New Jersey |
Authorized Official Name and Position | Haeyang Chung (PRESIDENT) |
Authorized Official Contact | 2013131500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Chung Medical Clinic P C 11 E Harwood Ter Palisades Park NJ 07650-1424 Ph: (201) 313-1500 | Dr Chung Medical Clinic P C 11 E Harwood Ter Palisades Park NJ 07650-1424 Ph: (201) 313-1500 |
NPI Number | 1902069925 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 07/09/2008 |
Medicare PECOS PAC ID | 5395873327 |
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Medicare Enrollment ID | O20100512000185 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902069925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA5927500 (New Jersey) | Primary |
208000000X | Pediatrics | 25MA5927500 (New Jersey) | Secondary |
Provider Name | Haeyang Chung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285670059 PECOS PAC ID: 2264464601 Enrollment ID: I20050907000015 |
Provider Name | Jenny Jee Young Hong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215342696 PECOS PAC ID: 4385960905 Enrollment ID: I20150225002314 |
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