Individual
MR. PETER HUNG CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC/NCLE
Contact information
Practice address
13955 METROTECH DR, CHANTILLY, VA 20151-3239
(703) 378-2270
Mailing address
13955 METROTECH DR, CHANTILLY, VA 20151-3239
(703) 378-2270
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003250
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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