NPI 1053806232

Christopher Ryan Fung, DPM

Practitioner Foot & Ankle Surgery Podiatrist Bryn Mawr, PA

Practice location

Address: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121
Phone: (484) 337-3000
Mailing address: 1000 Conestoga Rd APT A102, Bryn Mawr, PA 19010-1530

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence SC006917 (PA)

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Registry record

NPI: 1053806232
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2018
Record last updated: 28 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.