Tung, David Lee
Tung, David Lee is an individual health care provider with primary practice located at 3180 Main St Ste 202 , Bridgeport CT 06606-4237. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Tung, David Lee can be contacted via phone (203) 373-1593.Contact Information
Primary practice address
3180 Main St Ste 202
Bridgeport CT 06606-4237
Phone: (203) 373-1593
Fax: (203) 220-6593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 244714 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 14150 | New Hampshire |
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | 054789 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 054789 | Connecticut |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 244714 | New York |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 054789 | Connecticut |
Profile Details
| NPI number | 1972799799 |
|---|---|
| LBN Legal business name | Tung, David Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2007 |
| Last updated | Apr 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972799799 | NPPES |
| Maine | MEDICAID | 433299399 | |
| Maine | MEDICAID | 30208091 |
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