Provider Demographics
NPI:1811002728
Name:CHUNG-LOY, HAROLD EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:EDWARD
Last Name:CHUNG-LOY
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 1:98 JAMES ST
Mailing Address - Street 2:# 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3902
Mailing Address - Country:US
Mailing Address - Phone:732-548-1000
Mailing Address - Fax:732-547-7590
Practice Address - Street 1:98 JAMES ST
Practice Address - Street 2:# 202
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3902
Practice Address - Country:US
Practice Address - Phone:732-548-1000
Practice Address - Fax:732-547-7590
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04775400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3348903Medicaid
NJ3348903Medicaid
431258Medicare ID - Type Unspecified