Individual
JEREMIAH TAEJONG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1605 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5691
(757) 721-0512
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006500
VA
Other
Enumeration date
12/28/2011
Last updated
01/09/2023
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