Provider Demographics
NPI:1245400944
Name:JUNG, PAUL (MD, MPH, FACPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:MD, MPH, FACPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 FISHERS LN # 15120
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20857-6053
Mailing Address - Country:US
Mailing Address - Phone:240-706-1213
Mailing Address - Fax:
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20857-6053
Practice Address - Country:US
Practice Address - Phone:301-945-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD332592083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine