MEDICARE: DR. BYUNGYOL 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
1	207V00000X	Obstetrics & Gynecology Physician	78137	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0701474	OTHER	UNITED HEALTH CARE
2	043572001	OTHER	ANTHEM BC
3	80520	OTHER	FALLON
4	J30745	OTHER	BCBS
5	043572001	OTHER	HEALTH CARE VALUE MGT
6	131393	OTHER	HARVARD PILGRIM
7	043572001	OTHER	CHAMPUS TRICARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	078137	OTHER	TUFTS HEALTH PLAN
10	977400	OTHER	NETWORK HEALTH
11	2600216	OTHER	AETNA
12	0005991	OTHER	NEIGHBORHOOD HEALTH
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	599880	OTHER	HEALTH SOURCE
15	7188307006	OTHER	CIGNA

General Provider Information

NPI Number	:	1356337141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BYUNGYOL CHUN MD

Provider Business Mailing Address
First Line	:	800 W CUMMINGS PARK STE 2250
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-7034
Country	:	US
Telephone Number	:	781-404-6923
Fax Number	:	781-537-6916

Provider Business Practice Location Address
First Line	:	800 W CUMMINGS PARK STE 2250
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-7034
Country	:	US
Telephone Number	:	781-404-6923
Fax Number	:	781-537-6916

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	05/07/2019

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