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Contact Information

CAMILLE M FUNG, MD
100 N MEDICAL DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-581-7052
 Fax: 801-585-7395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CAMILLE M FUNG · (Female)

NPI # 1689627234
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 10/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A78222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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