Provider Demographics
NPI:1033420930
Name:FUNG, FRANCE (MD)
Entity type:Individual
Prefix:
First Name:FRANCE
Middle Name:
Last Name:FUNG
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:100 PENN SQUARE EAST, 9TH FL NORTH TOWER
Mailing Address - Street 2:CHCA NEUROLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHCA NEUROLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-1719
Practice Address - Fax:215-590-1771
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2016-08-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD4580572084P0804X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program