Healthcare Provider Details

I. General information

NPI: 1336504166
Provider Name (Legal Business Name): BYC HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
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

Practice location:
  • Phone: 781-404-6923
  • Fax: 781-537-6916
Mailing address:
  • Phone: 781-404-6923
  • Fax: 781-537-6916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number78137
License Number StateMA

VIII. Authorized Official

Name: BYUNGYOL CHUN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 781-404-6923