Organization
LIFETREE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONGJIN SUNG M.D. (OWNER)
(716) 868-9146
Entity
Organization
Contact information
Practice address
24585 STONE CARVER DR STE 100, ALDIE, VA 20105-2798
(716) 868-9146
Mailing address
6405 WOODSONG CT, MC LEAN, VA 22101-4122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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