Provider Demographics
NPI:1649026584
Name:CHUNG, KATE H (MD MPH MSA)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:H
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD MPH MSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439A HILLCREST PL
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2120
Mailing Address - Country:US
Mailing Address - Phone:201-803-5471
Mailing Address - Fax:
Practice Address - Street 1:140 N RTE 17 STE 110
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2824
Practice Address - Country:US
Practice Address - Phone:844-724-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00169800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist