Individual provider · Type 1 NPI

Andrew Seungjae Chung, MD PHD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1104529148 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2000 Map

Mailing address

3015 Bryan St Apt 2E
Dallas, TX 75204-6138

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104529148

Andrew Seungjae Chung, MD PHD's National Provider Identifier is 1104529148, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 27, 2023.