Individual provider · Type 1 NPI
David Allen Fung, PAC
Medical Physician Assistant · Concord, MA
NPI number
1366563603
Active
Practice location
131 Old Road To 9 Acre Cor, Suite 610
Concord, MA 01742-4181
Fax (978) 369-8514
Mailing address
18 Exeter St
Belmont, MA 02478-3648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 414 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1366563603
David Allen Fung, PAC's National Provider Identifier is 1366563603, issued on Apr 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Concord, MA. The record was last updated on Jul 8, 2007.