Individual
KIT TUNG IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
1125 COMMONWEALTH AVE, APT 19, ALLSTON, MA 02134-3201
(617) 447-7523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4687
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080806A
—
MA
Enumeration date
07/28/2008
Last updated
05/27/2016
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