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Contact Information

CHUNG H SHUM, M.D., PH.D.
417 STATE ST
WEBBER WEST 541
BANGOR, ME04401-6641
 Phone: 207-941-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHUNG H SHUM · (Male)

NPI # 1013062850
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 01/24/2007
Last updated 07/23/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A98612
  • ME License # 017501
  • PA License # MD428108
Hospital affiliation(s)
  • AROOSTOOK MEDICAL CENTERTHE - (Acute Care)
    140 ACADEMY ST - PO BOX 151
    PRESQUE ISLE, ME 04769
  • EASTERN MAINE MEDICAL CENTER - (Acute Care)
    489 STATE ST, PO BOX 404
    BANGOR, ME 04401
  • MERCY HOSPITAL - (Acute Care)
    144 STATE STREET
    PORTLAND, ME 04101
  • ST JOSEPH HOSPITAL - (Acute Care)
    360 BROADWAY
    BANGOR, ME 04401
  • ST MARYS REGIONAL MEDICAL CENTER - (Acute Care)
    CAMPUS AVENUE - PO BOX 291
    LEWISTON, ME 04240
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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