Tyler T Fung, PA-C
Physician Assistant in North Haven, Connecticut
1295215523- Practice location
- 19 Beach Ln, North Haven, CT 06473-4002
- Phone
- 203-239-6878
- Fax
- —
- Last updated
- August 16, 2018
Tyler Tan Fung is a Physician Assistant based in North Haven, CT. Tyler Tan Fung practices in North Haven, CT and has the professional credentials of PA-C. The NPI Number for Tyler Tan Fung is 1295215523 and holds a License No. 022515 (NY). The current practice location address for Tyler Tan Fung is 19 Beach Ln, North Haven, CT 06473-4002 and can be reached out via phone at 203-239-6878.
Provider Profile Details
- NPI Number
- 1295215523
- Provider Name
- Tyler Tan Fung
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19 Beach Ln, North Haven, CT 06473-4002
- Phone Number
- 203-239-6878
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2018
- Last Update Date
- August 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Beach Ln
North Haven, CT 06473-4002 - City
- North Haven
- State
- Connecticut
- Zip
- 06473-4002
- Phone Number
- 203-239-6878
Provider Business Mailing Address Details
- Address
- 19 Beach Ln
North Haven, CT 06473-4002 - City
- North Haven
- State
- CT
- Zip
- 06473-4002
- Phone Number
- 203-239-6878
License Information
- License Number
- 022515
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tyler T Fung, PA-C?
The NPI number of Tyler T Fung, PA-C is 1295215523. It was assigned on August 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Tyler T Fung, PA-C?
Tyler T Fung, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 022515.
Where does Tyler T Fung, PA-C practice?
The practice location is 19 Beach Ln, North Haven, CT 06473-4002. The office can be reached at 203-239-6878 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295215523 directly on the NPPES registry website.