Provider Demographics
NPI:1356332050
Name:QUION, JUN ANTHONY V (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:JUN ANTHONY
Middle Name:V
Last Name:QUION
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12710 DARBY BROOK CT
Mailing Address - Street 2:
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2486
Mailing Address - Country:US
Mailing Address - Phone:703-496-4190
Mailing Address - Fax:866-239-6997
Practice Address - Street 1:12710 DARBY BROOK CT
Practice Address - Street 2:
Practice Address - City:LAKE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2486
Practice Address - Country:US
Practice Address - Phone:703-496-4190
Practice Address - Fax:866-239-6997
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058310207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
003395R42Medicare PIN
F79760Medicare UPIN
DCF79760Medicare UPIN
DC003395R42Medicare PIN