Organization
DOMINION UROLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CHUNG M.D. (MANAGING PHYSICIAN)
(703) 208-4200
Entity
Organization
Contact information
Practice address
8503 ARLINGTON BOULEVARD, #310, FAIRFAX, VA 22031
(703) 208-4200
(703) 876-1799
Mailing address
8503 ARLINGTON BOULEVARD, #310, FAIRFAX, VA 22031
(703) 208-4200
(703) 876-1799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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