Provider Demographics
NPI:1770512055
Name:SANG K. CHUNG, M.D., P.C.
Entity Type:Organization
Organization Name:SANG K. CHUNG, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-234-7311
Mailing Address - Street 1:130 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1923
Mailing Address - Country:US
Mailing Address - Phone:508-234-7311
Mailing Address - Fax:
Practice Address - Street 1:130 EAST ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1923
Practice Address - Country:US
Practice Address - Phone:508-234-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA34013208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty