Individual
TONY KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19415 DEERFIELD AVE STE 106, LANSDOWNE, VA 20176-8470
(703) 723-9633
(703) 723-9772
Mailing address
500 J CLYDE MORRIS BLVD FL 2, NEWPORT NEWS, VA 23601-1929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101278086
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
06/27/2023
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