Chung, Grace U

Chung, Grace U is an sole proprietor health care provider with primary practice located at 17 W. Red Bank Ave Suite 205, Woodbury NJ 08096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Chung, Grace U can be contacted via phone (856) 853-0900.

Contact Information

Primary practice address
17 W. Red Bank Ave Suite 205 Woodbury NJ 08096
Phone: (856) 853-0900
Fax: (856) 853-5838
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA05549000 New Jersey

Profile Details

NPI number 1235111436
LBN Legal business name Chung, Grace U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jul 11th, 2013 - about 11 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 1235111436 NPPES
New Jersey Other 0463503000 AMERIHEALTH
New Jersey Other 24034 AMERIHEALTH
New Jersey MEDICAID 197180801 AMERIHEALTH
New Jersey Other 633461 AMERIHEALTH
New Jersey MEDICAID 1971808 AMERIHEALTH

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