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Individual
DR. TAE SUNG CHUNG
Active
Individual
DR. TAE SUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101056148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611523121
GROUP TAX ID
VA
Enumeration date
09/14/2005
Last updated
10/31/2017
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