Provider Demographics
NPI:1952096570
Name:CUNG, TIFFANY (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:CUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUMMA HEALTH/EMERGENCY MEDICINE RESIDENCY
Mailing Address - Street 2:525 EAST MARKET ST.
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304
Mailing Address - Country:US
Mailing Address - Phone:330-375-3361
Mailing Address - Fax:
Practice Address - Street 1:SUMMA HEALTH/EMERGENCY MEDICINE RESIDENCY
Practice Address - Street 2:525 EAST MARKET ST.
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-4430
Practice Address - Country:US
Practice Address - Phone:330-375-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program