Individual
PHILIP R CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 HERITAGE VILLAGE PLZ, SUITE 101, GAINESVILLE, VA 20155-3079
(703) 753-4733
(703) 753-2183
Mailing address
7300 HERITAGE VILLAGE PLZ, SUITE 101, GAINESVILLE, VA 20155-3079
(703) 753-4733
(703) 753-2183
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101239485
VA
207W00000X
Ophthalmology Physician
L7335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1675183-01
—
TX
Enumeration date
05/24/2005
Last updated
10/15/2013
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