Provider Demographics
NPI:1518992874
Name:CHUNG, JIN HO (MD)
Entity Type:Individual
Prefix:MR
First Name:JIN HO
Middle Name:
Last Name:CHUNG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:136 WEST MAIN STREET
Mailing Address - Street 2:HARTFORD ORTHOPEDIC MEDICINE
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1315
Mailing Address - Country:US
Mailing Address - Phone:860-826-4763
Mailing Address - Fax:860-826-4762
Practice Address - Street 1:100 WELLS STREET- SUITE 1B
Practice Address - Street 2:HARTFORD ORTHOPEDIC MEDICINE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103
Practice Address - Country:US
Practice Address - Phone:860-525-2672
Practice Address - Fax:860-727-0897
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-04-29
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Provider Licenses
StateLicense IDTaxonomies
CT033437208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation