| Dr Yoon-taek Chun, MD,FAAP | |
|
263 Prospect St, E Stroudsburg, PA 18301-2943 | |
| (570) 421-3575 | |
| Not Available |
| Full Name | Dr Yoon-taek Chun |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 263 Prospect St, E Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134120496 | NPI | - | NPPES |
| 00947786 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MD030828E (Pennsylvania) | Primary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Valley Health Partners Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yoon-taek Chun, MD,FAAP 263 Prospect St, E Stroudsburg, PA 18301-2943 Ph: (570) 421-3575 | Dr Yoon-taek Chun, MD,FAAP 263 Prospect St, E Stroudsburg, PA 18301-2943 Ph: (570) 421-3575 |
Sushil S. Mody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 175 E Brown St, Suite 108, E Stroudsburg, PA 18301 Phone: 570-476-3585 Fax: 570-421-9014 | |
Michael F. Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 E Brown St, Pocono Kids Pediatrics, E Stroudsburg, PA 18301 Phone: 570-476-3585 Fax: 570-421-9014 |