Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A95952 | CA |
NPI | 1376572032 |
---|---|
Provider Name | Dr. Edward Hyun Chung |
First Address | Delray Beach, FL 33484-6542 |
Second Address | Delray Beach, FL 33484-6542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 28/10/2007 |