Chung, Jeff

Chung, Jeff is an individual health care provider with primary practice located at 466 Old Hook Rd , Emerson NJ 07630-1377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Chung, Jeff can be contacted via phone (201) 967-8221.

Contact Information

Primary practice address
466 Old Hook Rd Emerson NJ 07630-1377
Fax: (201) 634-9647
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 25MA07780800 New Jersey

Profile Details

NPI number 1083684088
LBN Legal business name Chung, Jeff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 11th, 2012 - 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 1083684088 NPPES
New Jersey MEDICAID 0174629

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