Individual
EILEEN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11701 LIVINGSTON RD STE 302, FT WASHINGTON, MD 20744-5146
(012) 926-0103
(301) 203-1838
Mailing address
13704 CHIANTI CT, CHANTILLY, VA 20151-3274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008019
VA
Other
Enumeration date
07/27/2021
Last updated
04/15/2025
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