Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD062900L | PA |
N | 208600000X | Surgeon | MD062900L | PA |
Y | 2086X0206X | Surgical Oncologist | MD062900L | PA |
NPI | 1033205232 |
---|---|
Provider Name | Heiwon Chung |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 27/11/2015 |