Individual
DR. TAE SUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 316-5080
(540) 316-5081
Mailing address
LOCK BOX, P.O BOX 414768, BOSTON, MA 02241-4768
(781) 937-4556
(781) 937-6455
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101056148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611523121
GROUP TAX ID
VA
Enumeration date
09/14/2005
Last updated
10/31/2017
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