Jae W Chung, MD
Specialist in Corning, New York
NPI 1629071840
Jae W Chung is a Specialist based in Corning, NY. Jae W Chung practices in Corning, NY and has the professional credentials of MD. The NPI Number for Jae W Chung is 1629071840 and holds a License No. 25MA07546600 (New York).
The current practice location address for Jae W Chung is 1 Guthrie Dr, Corning, NY and can be reached out via phone at 607-973-7200 and via fax at607-937-7866. You can also correspond with Jae W Chung through the mailing address at 1 GUTHRIE DR, CORNING, NY - 14830-3696 (mailing address contact number: 607-973-7200).
Provider Profile Details
NPI Number
1629071840
Provider Name
Jae W Chung
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Guthrie Dr, Corning, NY, 14830-3696
Phone Number
607-973-7200
Fax Number
607-937-7866
Provider Enumeration Date
05/23/2005
Last Update Date
01/27/2017
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0040886 | 05 | NJ |
Provider Business Practice Location Address Details
Address
1 Guthrie Dr
City
Corning
State
New York
Zip
14830-3696
Phone Number
607-973-7200
Fax Number
607-937-7866
Provider Business Mailing Address Details
Address
1 Guthrie Dr
City
Corning
State
New York
Zip
14830-3696
Phone Number
607-973-7200
Fax Number
607-937-7866
Provider's Primary Taxonomy Details
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA07546600 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.