Provider Demographics
NPI:1669525093
Name:CHUNG, PAUL KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:KEVIN
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 ROUTE 72 WEST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2468
Mailing Address - Country:US
Mailing Address - Phone:609-597-0547
Mailing Address - Fax:609-597-8668
Practice Address - Street 1:1301 ROUTE 72 W
Practice Address - Street 2:SUITE 340
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2483
Practice Address - Country:US
Practice Address - Phone:609-597-0547
Practice Address - Fax:609-597-8668
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2014-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMAO73064207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI12781Medicare UPIN
NJ081759WDMMedicare PIN