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General NPI Number Information
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NPI Number | 1437221306
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Entity Type | Individual
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Provider Name | KAI B CHUNG MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 1676 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08361
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Country | US
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Telephone | 856-696-6431
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Fax | 856-794-5803
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Provider Business Mailing Address
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Address Line | 8 MICHAEL ROAD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081
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Country | US
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Telephone | 856-309-8660
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MA 032024
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License Number State | NJ
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