Chung, Daniel C

Chung, Daniel C is an individual health care provider with primary practice located at 55 Fruit St Blk 4, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chung, Daniel C can be contacted via phone (617) 724-6004.

Contact Information

Primary practice address
55 Fruit St Blk 4 Boston MA 02114-2696
Phone: (617) 724-6004
Fax: (617) 724-5996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 72977 Massachusetts

Profile Details

NPI number 1710978994
LBN Legal business name Chung, Daniel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710978994 NPPES
Massachusetts Other J31267 BCBS MA
Massachusetts MEDICAID 3139328 BCBS MA
Massachusetts Other 724682 BCBS MA

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