Individual
DANIEL W. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-5900
Mailing address
119 COURTHOUSE MANOR DR, STAFFORD, VA 22554-7347
(703) 943-6317
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
4894
VA
363AS0400X
Surgical Physician Assistant
Primary
4894
—
Other
Enumeration date
05/16/2018
Last updated
11/16/2020
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