Provider Demographics
NPI:1194272013
Name:AU, CHEUK CHUNG (MBBS)
Entity type:Individual
Prefix:DR
First Name:CHEUK CHUNG
Middle Name:
Last Name:AU
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROOM 1509, PO YIU HOUSE, PO PUI COURT, KWUN TONG
Mailing Address - Street 2:
Mailing Address - City:HONG KONG
Mailing Address - State:HONG KONG
Mailing Address - Zip Code:852
Mailing Address - Country:HK
Mailing Address - Phone:8526-472-1266
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:BADER 634
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-7327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2692592080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine