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)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