Individual
TOM WOO SEONG JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8609 SUDLEY RD STE 105, MANASSAS, VA 20110-4500
(703) 393-8883
Mailing address
8609 SUDLEY RD STE 105, MANASSAS, VA 20110-4500
(703) 565-7177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
02/03/2025
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