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GRACE U CHUNG MD PC NPI 1255432621


NPI Information

NPI: 1255432621
Provider Name: GRACE U CHUNG MD PC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
17 W RED BANK AVE
SUITE 205
WOODBURY, NJ
ZIP 08096
Phone: (856) 853-0900
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GRACE U CHUNG MD PC is a dermatology in Woodbury, NJ. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. GRACE U CHUNG MD PC NPI is 1255432621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 W RED BANK AVE
SUITE 205
WOODBURY, NJ
ZIP 08096-630
Phone: (856) 853-0900
Fax: (856) 853-5838

The provider's authorized official is Grace U Chung .
The authorized official title is Owner and has the following contact phone number (856) 853-0900.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 1/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyMA55490NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1197180801MEDICAIDNEW JERSEY
20543745000OTHERNEW JERSEYAMERIHEALTH GROUP #
3H63365MEDICARE UPINNEW JERSEY
424034OTHERNEW JERSEYAETNA GROUP #
5E70279MEDICARE UPINNEW JERSEY
6B37142MEDICARE UPINNEW JERSEY
7271880OTHERNEW JERSEYAMERIHEALTH PPO GROUP #
8C9716MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYRAILROAD MEDICARE ID #
9031181MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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