Organization
BNM, INC.
Active
Other names
My Kid's Pediatrics and Adolescent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA SOH YUN JUNG MD (PRESIDENT)
(703) 865-5437
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY, SUITE 220, FAIRFAX, VA 22033-3310
(703) 865-5437
Mailing address
12011 LEE JACKSON MEMORIAL HWY, SUITE 220, FAIRFAX, VA 22033-3310
(703) 865-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639326796
—
VA
05
—
556505700
—
MD
Enumeration date
03/05/2014
Last updated
05/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us