Basic Information
Provider Information
NPI: 1851558068
EntityType: 2
ReplacementNPI:  
OrganizationName: HUNG Y CHAE MD PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 2290
Address2:  
City: EDISON
State: NJ
PostalCode: 08818
CountryCode: US
TelephoneNumber: 7326079090
FaxNumber: 7326071160
Practice Location
Address1: 2 LINCOLN HIGHWAY RTE 27
Address2: STE 107
City: EDISON
State: NJ
PostalCode: 08820
CountryCode: US
TelephoneNumber: 7326079090
FaxNumber: 7326071160
Other Information
ProviderEnumerationDate: 05/16/2008
LastUpdateDate: 02/21/2013
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CHAE
AuthorizedOfficialFirstName: HUNG
AuthorizedOfficialMiddleName: Y
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7326079090
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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