Chung, Raymond T
Chung, Raymond T is an individual health care provider with primary practice located at 55 Fruit Street Blk 4 Gastroenterology Associates, Boston MA 02114-2696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Chung, Raymond T can be contacted via phone (617) 724-6006.Contact Information
Primary practice address
55 Fruit Street Blk 4 Gastroenterology Associates
Boston MA 02114-2696
Phone: (617) 724-6006
Fax: (617) 724-6832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70376 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 70376 | Massachusetts |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 70376 | Massachusetts |
Profile Details
| NPI number | 1154311769 |
|---|---|
| LBN Legal business name | Chung, Raymond T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154311769 | NPPES |
| Massachusetts | MEDICAID | 3119416 | |
| Massachusetts | Other | 724686 | |
| Massachusetts | Other | J08593 |
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