MEDICARE: RICHARD PAUL JUNGHANS 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
1	207RH0003X	Hematology & Oncology Physician	MD11666	RI
2	207RX0202X	Medical Oncology Physician	74718	MA
3	207RH0003X	Hematology & Oncology Physician	74718	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	412590	OTHER	RI	BLUE CHIP OF RI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	29541	OTHER	RI	BLUE CROSS OR RI

General Provider Information

NPI Number	:	1124029376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD PAUL JUNGHANS MD

Provider Business Mailing Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:	617-636-5982
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:	617-636-5982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/10/2025

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