Provider Demographics
NPI:1437214525
Name:WOO, JUNG JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNG
Middle Name:JOHN
Last Name:WOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J. JOHN
Other - Middle Name:
Other - Last Name:WOO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8233 OLD COURTHOUSE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3816
Mailing Address - Country:US
Mailing Address - Phone:703-917-0012
Mailing Address - Fax:703-917-0028
Practice Address - Street 1:8233 OLD COURTHOUSE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3816
Practice Address - Country:US
Practice Address - Phone:703-917-0012
Practice Address - Fax:703-917-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236663207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA437A91Medicare PIN
VAH64997Medicare UPIN