Doctor Name: | CYNDI H PHUNG |
NPI Number: | 1114217262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | SP011272 |
Business Practice Address: | 7930 Waltham Rd Cheltenham, PA - 190121713 |
Business Phone Number: | 2677601228 |
Business Fax Number: | |
Mailing Address: | 7930 Waltham Rd, CHELTENHAM |
State: | PA |
Postal Code: | 19012 |
Phone Number: | 2677601228 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP011272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |