Dr. Yoon-Taek Chun
Adolescent Medicine
263 Prospect St
E Stroudsburg
, Pennsylvania 18301-2943
Dr. Yoon-Taek Chun
Adolescent Medicine
263 Prospect St
E Stroudsburg
, Pennsylvania 18301-2943
(570) 421-3575
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Yoon-Taek Chun
- 263 Prospect St
- E Stroudsburg, PA
- Zip : 18301-2943
- Phone : (570) 421-3575
Second Address
- Dr. Yoon-Taek Chun
- 263 Prospect St
- E Stroudsburg, PA
- Zip : 18301-2943
- Phone : (570) 421-3575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD030828E | PA |
National Provider Identifier
| NPI | 1134120496 |
|---|---|
| Provider Name | Dr. Yoon-Taek Chun |
| First Address | E Stroudsburg, PA 18301-2943 |
| Second Address | E Stroudsburg, PA 18301-2943 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 18/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00947786 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.