Organization Name: | PEDIATRIC ASSOCIATES OF ROCHESTER HILLS, PC |
NPI Number: | 1043561061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J CHUNG (DOCTOR) |
Mailing Address: | 930 W Avon Rd 17 Rochester Hills |
State: | MI US |
Postal Code: | 483072759 |
Phone Number: | 2486515454 |
Fax Number: | 2486513841 |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | WC036541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |