Chungu, Carolyn R

Chungu, Carolyn R is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Inc., Burlington MA 01805-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Chungu, Carolyn R can be contacted via phone (781) 744-8132.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic, Inc. Burlington MA 01805-0001
Phone: (781) 744-8132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 258697 Massachusetts

Profile Details

NPI number 1922027499
LBN Legal business name Chungu, Carolyn R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 16th, 2013 - about 13 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 1922027499 NPPES
Massachusetts MEDICAID 110025323A
Massachusetts MEDICAID 30349338

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