Tyler Tan Fung, PA-C

NPI #1295215523 in North Haven, Connecticut

Provider Information

NPI Number: 1295215523
Entity Type: Individual
Name: Tyler Tan Fung, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 16, 2018
Last Updated: Aug 16, 2018

Practice Location

Address: 19 BEACH LN
City: North Haven
State: Connecticut
ZIP Code: 06473-4002
Phone: (203) 239-6878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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