Provider Demographics
NPI:1134337355
Name:FUNG, HAK YUNG (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:HAK YUNG
Middle Name:
Last Name:FUNG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1605
Mailing Address - Country:US
Mailing Address - Phone:508-584-4280
Mailing Address - Fax:
Practice Address - Street 1:103 NEWBURY AVE
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1938
Practice Address - Country:US
Practice Address - Phone:617-318-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226476171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist