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Eric Lee Tung, MD
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1104484930

Eric Lee Tung is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Eric Lee Tung practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Eric Lee Tung is 1104484930 and holds a License No. (Massachusetts).

The current practice location address for Eric Lee Tung is 680 Centre St, Brockton, MA and can be reached out via phone at 508-941-7000.

Location: 680 Centre St, Brockton, MA, 02302-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104484930
Provider Name
Eric Lee Tung
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
680 Centre St, Brockton, MA, 02302-3308
Phone Number
508-941-7000
Fax Number
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7000
Fax Number
person
Provider Business Mailing Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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