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Individual

MARGRIET BUNGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
20925 PROFESSIONAL PLZ, SUITE 340, ASHBURN, VA 20147-3403
(703) 723-8900
(703) 723-8400
Mailing address
1922 KENBAR CT, MCLEAN, VA 22101-5321
(703) 241-1254

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101044128
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101044128
STATE LICENSE
VA
Enumeration date
01/29/2007
Last updated
03/07/2023
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