Individual
MR. JOSHUA K SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 219, FREDERICKSBURG, VA 22401-4467
(540) 741-2865
(540) 741-2868
Mailing address
1101 SAM PERRY BLVD, SUITE 219, FREDERICKSBURG, VA 22401-4467
(540) 741-2865
(540) 741-2868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010213223
—
VA
01
—
P00260860
RAILROAD MEDICARE
—
Enumeration date
06/04/2006
Last updated
07/08/2014
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