Individual
JU-FANG MA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3636 HIGH ST, MARYVIEW MEDICAL CENTER, PORTSMOUTH, VA 23707
(757) 399-7451
(757) 399-1158
Mailing address
355 CRAWFORD ST, SUITE 808, PORTSMOUTH, VA 23704
(757) 399-7451
(757) 399-1158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101234686
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01000038693
—
VA
Enumeration date
01/23/2006
Last updated
07/08/2007
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