Individual provider · Type 1 NPI
Christopher Ryan Fung, DPM
Foot & Ankle Surgery Podiatrist · Bryn Mawr, PA
NPI number
1053806232
Active
Practice location
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Mailing address
1000 Conestoga Rd Apt A102
Bryn Mawr, PA 19010-1530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006917 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1053806232
Christopher Ryan Fung, DPM's National Provider Identifier is 1053806232, issued on Jun 28, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bryn Mawr, PA. The record was last updated on Jun 28, 2018.