MEDICARE: BYC HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	78137	MA

General Provider Information

NPI Number	:	1336504166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BYC HEALTHCARE INC

Provider Business Mailing Address
First Line	:	800 W CUMMINGS PARK STE 2250
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-7034
Country	:	US
Telephone Number	:	781-404-6923
Fax Number	:	781-537-6916

Provider Business Practice Location Address
First Line	:	800 W CUMMINGS PARK STE 2250
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-7034
Country	:	US
Telephone Number	:	781-404-6923
Fax Number	:	781-537-6916

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BYUNGYOL CHUN
Credential	:	M.D.
Telephone Number	:	781-404-6923

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	05/07/2019

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