| Doctor Name: | JOEL T BUNDY |
| NPI Number: | 1932105517 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9901131 |
| Business Practice Address: | 745 Battlefield Blvd N Chesapeake, VA - 233200305 |
| Business Phone Number: | 7576230005 |
| Business Fax Number: | 7574107349 |
| Mailing Address: | 1228 Progressive Dr, Ste 101 CHESAPEAKE |
| State: | VA |
| Postal Code: | 233202846 |
| Phone Number: | 7576230005 |
| Fax Number: | 7574107349 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 04/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 9901131 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |