Basic Information
| Provider Information | |||||||||
| NPI: | 1205031739 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | JUNG | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | HYUN | ||||||||
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| Credential: | MD, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 243 CHARLES ST | ||||||||
| Address2: | MASSACHUSETTS EYE AND EAR INFIRMARY DIV OF OTOLOGY | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021143002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175237900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 243 CHARLES ST | ||||||||
| Address2: | MASSACHUSETTS EYE AND EAR INFIRMARY DIV OF OTOLOGY | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021143002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175237900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2007 | ||||||||
| LastUpdateDate: | 07/01/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 250644 | MA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.