Healthcare Provider Details
I. General information
NPI: 1902787054
Provider Name (Legal Business Name): ESTHER JUNG MD PHYSIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 WARD HILL AVE
HAVERHILL MA
01835-5896
US
IV. Provider business mailing address
145 WARD HILL AVE
HAVERHILL MA
01835-5896
US
V. Phone/Fax
- Phone: 978-372-8000
- Fax:
- Phone: 978-372-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ESTHER
JIN
JUNG
Title or Position: PHYSIATRIST
Credential: MD
Phone: 614-302-6682