Individual
DR. PATRICK DEAN-TZO HUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1593 YANCEYVILLE ST., SUITE 100, GREENSBORO, NC 27405-6948
(336) 275-1306
(336) 275-1307
Mailing address
1593 YANCEYVILLE ST., BUILDING A, SUITE 100, GREENSBORO, NC 27405-6948
(336) 275-1306
(336) 275-1307
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2005-00334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1391C
BCBS
NC
01
—
2044598
MEDICARE INDIVIDUAL
NC
01
—
2134021
MAMSI
NC
01
—
2900502
UNITED HEALTHCARE
NC
01
—
3958674
AETNA
NC
01
—
561999974
TAX ID
NC
05
—
5902476
—
NC
01
—
806361
PARTNERS
NC
01
—
E3523
MEDCOST
NC
01
—
P00287230
RAILROAD MEDICARE
NC
Enumeration date
08/14/2006
Last updated
08/04/2008
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