Fung, Mark K

Fung, Mark K is an individual health care provider with primary practice located at 111 Colchester Ave Fletcher Allen Health Care - Pathology, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as his primary health care specialty. Fung, Mark K can be contacted via phone (802) 847-3000.

Contact Information

Primary practice address
111 Colchester Ave Fletcher Allen Health Care - Pathology Burlington VT 05401-1473
Phone: (802) 847-3000
Fax: (802) 847-3509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 042-0010655 Vermont

Profile Details

NPI number 1043245657
LBN Legal business name Fung, Mark K
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043245657 NPPES
Vermont MEDICAID 1010070

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