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Individual
RAYMOND FUNG
Active
Individual
RAYMOND FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18083
MA
225100000X
Physical Therapist
Primary
40QA01332900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01332900
PT LICENSE
NJ
Enumeration date
09/22/2008
Last updated
11/09/2009
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