Individual
DR. TAE JOON CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 TOWN CENTER DR, SUITE 308, RESTON, VA 20190-3292
(703) 668-0700
(703) 668-0707
Mailing address
1830 TOWN CENTER DR, SUITE 308, RESTON, VA 20190-3292
(703) 668-0700
(703) 668-0707
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101232063
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00209343
MEDICARE RAILROAD
VA
Enumeration date
08/30/2006
Last updated
02/08/2010
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