Provider Demographics
NPI:1356337141
Name:CHUN, BYUNGYOL (MD)
Entity type:Individual
Prefix:DR
First Name:BYUNGYOL
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 1:800 W CUMMINGS PARK STE 2250
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-7034
Mailing Address - Country:US
Mailing Address - Phone:781-404-6923
Mailing Address - Fax:781-537-6916
Practice Address - Street 1:800 W CUMMINGS PARK STE 2250
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-7034
Practice Address - Country:US
Practice Address - Phone:781-404-6923
Practice Address - Fax:781-537-6916
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0701474OtherUNITED HEALTH CARE
043572001OtherANTHEM BC
80520OtherFALLON
J30745OtherBCBS
043572001OtherHEALTH CARE VALUE MGT
131393OtherHARVARD PILGRIM
043572001OtherCHAMPUS TRICARE
MA3127826Medicaid
078137OtherTUFTS HEALTH PLAN
977400OtherNETWORK HEALTH
2600216OtherAETNA
0005991OtherNEIGHBORHOOD HEALTH
NH30200537Medicaid
599880OtherHEALTH SOURCE
7188307006OtherCIGNA
80520OtherFALLON
043572001OtherHEALTH CARE VALUE MGT
NH30200537Medicaid
MA3127826Medicaid