Keun Sam Chung MD
NPI 1821073107
Information of Keun Sam Chung MD
Practice address located
- 20 York St
- New Haven, Connecticut 06504
- (203) 785-2802
- (203) 785-2802
Mailling address located
- Po Box 9805
- New Haven, Connecticut 06536
- Not available
- Not available
NPI No 1821073107
- NPI number: 1821073107
- NPI provider name: Keun Sam Chung MD
- Gender: Male
- NPI type: Individual
- Sole Proprietor: No
- Is Organization Subpart?: Yes
- Enumeration date: Friday, December 9 2005
- Last update date: Friday, December 9 2005
Primary Taxonomy
- Taxonomy Code: 207L00000X
- Classification: Anesthesiology
- License Number: 018808
- License State: Connecticut
Specialty of the provider
Primary | Taxonomy Code | Classification | License Number | License State |
---|---|---|---|---|
No | 207L00000X | Anesthesiology | 018808 | Connecticut |
Yes | 207LP2900X | Pain Medicine | 018808 | Connecticut |
Identifier for this provider
State | Identifier | Type | Issuer |
---|---|---|---|
CT | 001188085 | Medicaid | n/a |
CT | 050000071 | Medicare ID-Type Unspecified | n/a |
CT | 72000000 | Medicare ID-Type Unspecified | n/a |
n/a | D02999 | Medicare UPIN | n/a |
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