Individual
DR. CHUNG U CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2595 VICTORY BLVD, PORTSMOUTH, VA 23702-2315
(757) 487-4949
(757) 487-5265
Mailing address
4053 TAYLOR RD, SUITE K, CHESAPEAKE, VA 23321-5537
(757) 638-0085
(757) 686-3025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101026927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073346
ANTHEM
VA
Enumeration date
07/07/2006
Last updated
11/29/2007
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