Chung, Song Suck

Chung, Song Suck is an individual health care provider with primary practice located at 1412 N Crain Hwy Suite 6A, Glen Burnie MD 21061-9306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Chung, Song Suck can be contacted via phone (410) 582-9292.

Contact Information

Primary practice address
1412 N Crain Hwy Suite 6A Glen Burnie MD 21061-9306
Phone: (410) 582-9292
Fax: (410) 582-9295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D14172 Maryland

Profile Details

NPI number 1700968047
LBN Legal business name Chung, Song Suck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1700968047 NPPES
Maryland Other 05740001 BLUE CHOICE
Maryland Other KFJ3 BLUE CHOICE

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