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1649214370
CHEN SU CHIUNG
SAINT LOUIS, MO
NPI
1649214370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MO 33980)
Enumeration Date
2006-06-15
Last Update Date
2007-07-12
Business Address
-- CHEN SU CHIUNG MD
3691 RUTGER ST
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-6828
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Mailing Address
-- CHEN SU CHIUNG MD
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-6828
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