Individual
SHIRLEY M FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 CHESTNUT ST STE 1300, PHILADELPHIA, PA 19107-4398
(215) 923-7685
(215) 923-8230
Mailing address
1015 CHESTNUT ST STE 1300, PHILADELPHIA, PA 19107-4398
(215) 923-7685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231928
NY
207R00000X
Internal Medicine Physician
418839
PA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
418839
PA
207RI0200X
Infectious Disease Physician
418839
PA
Other
Enumeration date
10/04/2006
Last updated
12/30/2015
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