Individual provider · Type 1 NPI

Susana Chung, PA-C

Surgical Physician Assistant · Washington, DC

NPI number 1669626461 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 37215
Baltimore, MD 21297-3215

Other practice locations

  • 8081 Innovation Park Dr Ste 765, Fairfax, VA 22031-4867 · (571) 472-1717

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110004184 (VA)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1669626461

Susana Chung, PA-C's National Provider Identifier is 1669626461, issued on Nov 6, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Aug 19, 2024.