Individual
SUSANA CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4063
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004184
VA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
08/19/2024
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