Whalio Doctors

NPI 1346390408

Jae Sung Chung, MD

Practitioner Family Medicine Physician Lanham, MD

Practice location

Address
9470 Annapolis Rd 306, Lanham, MD 20706-3025
Phone
(301) 459-1691
Fax
(301) 577-2473
Mailing address
10301 Strathmore Hall St APT 218, North Bethesda, MD 20852-6684

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D19250 (MD)

Registry record

NPI
1346390408
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.