Provider Demographics
NPI:1760464051
Name:YUN, JONG HWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JONG
Middle Name:HWAN
Last Name:YUN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS. GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:55 FRUIT ST # 216
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-4255
Practice Address - Fax:617-726-3077
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
MA2243792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology