National Provider Identifier
Jae W Chung, M.D.
Jae W Chung, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Corning, NY and a listed phone number of (607) 973-7200.
Profile Overview
- NPI
- 1629071840
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- May 23, 2005
- Last Updated
- January 27, 2017
Practice Location
- 1 Guthrie Dr
- Corning, NY 14830-3696
Phone: (607) 973-7200
Specialties
- Anesthesiology Physician (207L00000X)
- Specialist (174400000X)
Full Record
- NPI
- 1629071840
- Entity Type
- Individual
- Last Name
- Chung
- First Name
- Jae
- Middle Name
- W
- Credential
- M.D.
- Mailing Street Address
- 1 Guthrie Dr
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-3696
- Mailing Country
- US
- Mailing Phone
- (607) 973-7200
- Mailing Fax
- (607) 937-7866
- Practice Street Address
- 1 Guthrie Dr
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-3696
- Practice Country
- US
- Practice Phone
- (607) 973-7200
- Practice Fax
- (607) 937-7866
- Enumeration Date
- May 23, 2005
- Last Updated
- January 27, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X), Specialist (174400000X)
- Other Identifiers
- 0040886 (NJ)