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Individual

DR. FREDERICK A BUNGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 OAK RIDGE TPKE, SUITE C 100, OAK RIDGE, TN 37830-6957
(865) 483-2288
(865) 482-4400
Mailing address
800 OAK RIDGE TPKE, SUITE C 100, OAK RIDGE, TN 37830-6957
(865) 483-2288
(865) 482-4400

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
45832
KY
207Y00000X
Otolaryngology Physician
Primary
49517
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000284025
UNISON AGED BLIND & DISABLED
OH
01
000000392339
ANTHEM
MI
01
000000604434
ANTHEM
01
01370
PARAMOUNT
OH
05
0891790
OH
01
143906
PRIORITY HEALTH
05
1532553
TN
01
157558
GLHP
01
1704610842
BCBS MI
MI
01
23604
HPM
01
4243846
AETNA
MI
05
4876691
MI
05
7100236970
KY
01
P00335204
RRMC
01
P00752932
RRM
01
P00979695
RRMC
OH
Enumeration date
09/15/2005
Last updated
06/23/2015
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