Provider Demographics
NPI:1104159854
Name:CHOONG, BRYAN FYE ZYN (DC)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:FYE ZYN
Last Name:CHOONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NORTH POTTSTOWN PK
Mailing Address - Street 2:UNIT 280
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341
Mailing Address - Country:US
Mailing Address - Phone:610-256-6970
Mailing Address - Fax:
Practice Address - Street 1:300 NORTH POTTSTOWN PK
Practice Address - Street 2:UNIT 280
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-256-6970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor