Provider Demographics
NPI:1174612592
Name:CHUN, HAJOON (MD)
Entity type:Individual
Prefix:DR
First Name:HAJOON
Middle Name:
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18901 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2824
Mailing Address - Country:US
Mailing Address - Phone:718-253-8111
Mailing Address - Fax:718-587-9300
Practice Address - Street 1:18901 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2824
Practice Address - Country:US
Practice Address - Phone:718-253-8111
Practice Address - Fax:718-587-9300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198540207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01055Medicare ID - Type Unspecified
NYG25115Medicare UPIN