Individual
BONITA R Y FUNG
Active
Individual
BONITA R Y FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
35086003F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2601107
—
OH
Enumeration date
03/03/2006
Last updated
01/26/2015
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