Individual
PIL SUP CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
(215) 266-1588
Mailing address
201 N WASHINGTON ST, FALLS CHURCH, VA 22046-4518
(215) 266-1588
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101248324
VA
207L00000X
Anesthesiology Physician
D0067666
MD
207L00000X
Anesthesiology Physician
MD039750
DC
Other
Enumeration date
04/03/2007
Last updated
02/04/2022
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