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Philip R Chung, M.D.

Ophthalmology in Gainesville, VA. Individual provider (NPI-1).

NPI number1902809684
StatusActive
Last updated in NPPESOct 15, 2013

Details

NPI
1902809684
Entity type
Individual (NPI-1)
Name
Philip R Chung
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2005
Last updated
Oct 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology0101239485VAYes
207W00000X OphthalmologyL7335TX

Practice location

7300 Heritage Village Plz
Suite 101
Gainesville, VA 20155-3079

Phone 703-753-4733 · Fax 703-753-2183

Mailing address

7300 Heritage Village Plz
Suite 101
Gainesville, VA 20155-3079

Phone 703-753-4733 · Fax 703-753-2183

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