Individual
DR. PIUS SEONG JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2118 COTTMAN AVE # 8, PHILADELPHIA, PA 19149-1133
(215) 725-1209
(215) 745-1373
Mailing address
2118 COTTMAN AVE, PHILADELPHIA, PA 19149-1133
(215) 725-1209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003065
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014503890001
—
PA
Enumeration date
06/28/2015
Last updated
12/03/2020
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