Male or Other

Mr. Song S. Chung MD

Gynecology Physician in Glen Burnie, MD(View on Map)

Full Name

Mr. Song Suck Chung MD

NPI Number

1700968047

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/19/2006

Specialties

(Taxonomies)

Code

207VG0400X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D14172

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 558
1412 N CRAIN HWY

City

Stevenson
Glen Burnie

State

MD
MD

Postal Code

21153-0558
21061-9306

Country

US
US

Telephone Number

(410) 582-9292
(410) 582-9292

Identifiers

Identifier

05740001
KFJ3

Identifier State

MD
MD

Identifier Issuer

BLUE CHOICE
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

Other Gynecology Physicians in Glen Burnie, Maryland:

Female

Vijayalakshmi Nimmagadda M.D

Glen Burnie, MD

Specialty: Gynecology Physician (Primary)

Male or Other

Leoncio Ceccarelli MD

Glen Burnie, MD

Specialty: Gynecology Physician (Primary)

Female

Linda Oaks MD

Glen Burnie, MD

Specialty: Gynecology Physician (Primary)