Chung, Edward Kwanghyoun
Chung, Edward Kwanghyoun is an individual health care provider with primary practice located at 133 Old Road To Nine Acre Corner , Concord MA 01742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chung, Edward Kwanghyoun can be contacted via phone (978) 369-1400.Contact Information
Primary practice address
133 Old Road To Nine Acre Corner
Concord MA 01742
Phone: (978) 369-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 229984 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18411 | New Hampshire |
Profile Details
| NPI number | 1730286055 |
|---|---|
| LBN Legal business name | Chung, Edward Kwanghyoun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730286055 | NPPES |
| New Hampshire | MEDICAID | 3112730 |
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