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DR. ANDREW SEUNGJAE CHUNG MD PHD
NPI 1104529148
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 27, 2023

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew Seungjae Chung Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW SEUNGJAE CHUNG MD PHD (NPI 1104529148) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1104529148
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANDREW SEUNGJAE CHUNGCredential: MD PHD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address3015 Bryan St Apt 2eDallas, TX 75204-6138 · (714) 931-2857
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 26, 2023
✔ NPI 1104529148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST, Boston, MA 02114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Chung's NPI number?

The NPI number for Andrew Chung is 1104529148. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Andrew Chung located?

Andrew Chung practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Andrew Chung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrew Chung was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.