Basic Information
| Provider Information | |||||||||
| NPI: | 1629282884 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHEUNG | ||||||||
| FirstName: | ARNOLD CHUNG WAI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 236 NORTH PEARL ST. | ||||||||
| Address2: | |||||||||
| City: | BROCKTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084273110 | ||||||||
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| Practice Location | |||||||||
| Address1: | 236 N. PEARL ST. | ||||||||
| Address2: | |||||||||
| City: | BROCKTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023010001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082638340 | ||||||||
| FaxNumber: | 6082630682 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2007 | ||||||||
| LastUpdateDate: | 04/02/2014 | ||||||||
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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 | 2085R0202X | 57129 | WI | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 256182 | MA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 14277 | MA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.