Provider Demographics
NPI:1457157083
Name:CHUNG, BIANCA
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:CHUNG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CHARLEMONT DRIVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:KINGSTON
Mailing Address - State:ST ANDREW
Mailing Address - Zip Code:00006
Mailing Address - Country:JM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9-11 PHOENIX AVENUE
Practice Address - Street 2:UNIT 6
Practice Address - City:KINGSTON
Practice Address - State:ST ANDREW
Practice Address - Zip Code:00010
Practice Address - Country:JM
Practice Address - Phone:876-672-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN