Fung, Tyler Tan

Fung, Tyler Tan is an individual health care provider with primary practice located at 19 Beach Ln , North Haven CT 06473-4002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fung, Tyler Tan can be contacted via phone (203) 239-6878.

Contact Information

Primary practice address
19 Beach Ln North Haven CT 06473-4002
Phone: (203) 239-6878
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022515 New York

Profile Details

NPI number 1295215523
LBN Legal business name Fung, Tyler Tan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2018
Last updated Aug 16th, 2018 - about 7 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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