| Paul C Tung, MD | |
|
10 Members Way, Suite 400, Dover, NH 03820-5933 | |
| (603) 742-1143 | |
| (603) 749-3509 |
| Full Name | Paul C Tung |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 10 Members Way, Dover, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083667141 | NPI | - | NPPES |
| 1083667141 | Medicaid | ME | |
| 3076045 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 7890 (New Hampshire) | Primary |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Tung, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 742-1143 | Paul C Tung, MD 10 Members Way, Suite 400, Dover, NH 03820-5933 Ph: (603) 742-1143 |
Dr. Mark Lee Dick, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Fl 5, Dover, NH 03820 Phone: 603-609-6800 | |
Dr. Brian Todd Mckinley, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 403, Dover, NH 03820 Phone: 603-742-6664 | |
Mrs. Jhansi Lakshmi Maradana, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509 | |
Ravi Teja Pasam, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2503 Fax: 603-740-2497 | |
Amy Claire Bessnow, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-740-2694 | |
Dylan Thomas, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 400, Dover, NH 03820 Phone: 603-742-1143 Fax: 603-749-3509 |