Search › Wisconsin › 171100000X
Jae Chung, MDOM PHD
NPI 1720296767 · on the registry since 2007
Practice
- Address
- 780 Regent Street
Suite #301
Madison, WI 53715 - Phone
- (608) 256-0808
- Fax
- (608) 256-0808
- Organisation at this address
- University Of Wisconsin Medical Foundation Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin