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1295215523
TYLER TAN FUNG
NORTH HAVEN, CT
NPI
1295215523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022515)
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
TYLER TAN FUNG PA-C
19 BEACH LN
NORTH HAVEN, CT 06473-4002
Phone number: 203-239-6878
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Mailing Address
TYLER TAN FUNG PA-C
19 BEACH LN
NORTH HAVEN, CT 06473-4002
Phone number: 203-239-6878
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