Individual
FLAVIA FERNANDES JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-1330
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-1330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212699
NY
2080P0210X
Pediatric Nephrology Physician
2000-01601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4131550
—
MD
Enumeration date
08/22/2006
Last updated
02/14/2020
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