Michael W Fung, MD
Ophthalmology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1760690804
StatusActive
Last updated in NPPESJul 2, 2008
Details
- NPI
- 1760690804
- Entity type
- Individual (NPI-1)
- Name
- Michael W Fung
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2007
- Last updated
- Jul 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD434338 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116016269 | VA | |
| 207W00000X | Ophthalmology | 49519 | MN |
Practice location
700 Spruce StSuite 100
Philadelphia, PA 19106-4022
Phone 215-829-5311 · Fax 215-829-3091
Mailing address
700 Spruce StSuite 100
Philadelphia, PA 19106-4022
Phone 215-829-5311 · Fax 215-829-3091
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