Healthcare Provider Details
I. General information
NPI: 1154773679
Provider Name (Legal Business Name): BYC HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2016
Last Update Date: 05/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W CUMMINGS PARK STE 2250
WOBURN MA
01801-7034
US
IV. Provider business mailing address
800 W CUMMINGS PARK STE 2250
WOBURN MA
01801-7034
US
V. Phone/Fax
- Phone: 781-404-6923
- Fax: 781-537-6916
- Phone: 781-404-6923
- Fax: 781-537-6916
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BYUNGYOL
CHUN
Title or Position: OWNER, MD
Credential:
Phone: 781-787-3003