| Matthew W Fung, PT, DPT, OCS, CSCS | |
|
20 State Route 10 W, Succasunna, NJ 07876-1724 | |
| (201) 549-5191 | |
| (551) 361-9176 |
| Full Name | Matthew W Fung |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 20 State Route 10 W, Succasunna, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689155798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305212170 (Virginia) | Primary |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew W Fung, PT, DPT, OCS, CSCS 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Matthew W Fung, PT, DPT, OCS, CSCS 20 State Route 10 W, Succasunna, NJ 07876-1724 Ph: (201) 549-5191 |
Mrs. Barbara A. O'neil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Sunset Strip, Suite 204, Route 10 East, Succasunna, NJ 07876 Phone: 973-598-9111 Fax: 973-598-9110 | |
Gina Sandelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Sunset Strip # 204, Succasunna, NJ 07876 Phone: 973-598-9111 | |
Maribeth Grella, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Main St, Succasunna, NJ 07876 Phone: 973-584-4000 Fax: 973-933-4510 | |
Michele Lovetere, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 66 Sunset Strip Ste 400, Succasunna, NJ 07876 Phone: 973-584-3191 Fax: 973-584-3194 | |
Darylle Racimo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Main St, Succasunna, NJ 07876 Phone: 973-584-4000 Fax: 973-933-4510 | |
Atara Polinsky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Sunset Strip Ste 400, Succasunna, NJ 07876 Phone: 973-584-3191 | |
Ms. Aarati Desai, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 118 Main St, Succasunna, NJ 07876 Phone: 973-584-4000 Fax: 866-862-4631 |