Provider Demographics
NPI:1285749960
Name:CHUNG, JEFFREY H (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:H
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:435 EAST 70TH ST
Mailing Address - Street 2:APT# 33L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5342
Mailing Address - Country:US
Mailing Address - Phone:617-331-9479
Mailing Address - Fax:212-746-8451
Practice Address - Street 1:1300 YORK AVE
Practice Address - Street 2:STARR-437
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4805
Practice Address - Country:US
Practice Address - Phone:212-746-2150
Practice Address - Fax:212-746-8451
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2011-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA229886207R00000X
NY244212207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine