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NPI Code Detail

MEDICARE: KALI ANN JUNG

MEDICARE: KALI ANN JUNG
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
1363A00000XPhysician AssistantPA102561MA

General Provider Information

NPI Number : 1912723461
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALI ANN JUNG
Provider Business Mailing Address
First Line : 31 BEACH ST APT 903
Second Line :
City : BOSTON
State : MA
Zip : 02111-1605
Country : US
Telephone Number : 631-833-0399
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 : 617-636-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 05/18/2026

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Directions to “ KALI ANN JUNG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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