Provider Demographics
NPI:1962460923
Name:HUNG, VIRGINIA S (MD)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:S
Last Name:HUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 UNICORN PARK DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801
Mailing Address - Country:US
Mailing Address - Phone:781-721-0500
Mailing Address - Fax:781-721-5719
Practice Address - Street 1:100 UNICORN PARK DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:781-721-0500
Practice Address - Fax:781-721-5719
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA218005207XS0106X, 207X00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery