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NPI Code Detail

MEDICARE: YOO NA CHUN MD

MEDICARE:   YOO NA  CHUN  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013776418
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOO NA CHUN MD
Provider Business Mailing Address
First Line : 333 BORTHWICK AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 BORTHWICK AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7128
Country : US
Telephone Number : 718-799-6287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 06/16/2026

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Directions to “ YOO NA CHUN MD” Practice Location

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