National Provider Identifier

Peter William Ip Fung Chun, MD

Peter William Ip Fung Chun, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (647) 608-2983.

NPI 1821658873Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1821658873
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
June 20, 2019
Last Updated
July 01, 2020

Practice Location

  • 1001 Main Street, Room 5145
  • Division Of Pediatric Medical Education
  • Buffalo, NY 14203

Phone: (647) 608-2983

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1821658873
Entity Type
Individual
Last Name
Ip Fung Chun
First Name
Peter
Middle Name
William
Name Prefix
Mr.
Credential
MD
Mailing Street Address
1001 Main Street, Room 5145
Mailing Address Line 2
Division Of Pediatric Medical Education
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203
Mailing Country
US
Mailing Phone
(647) 608-2983
Mailing Fax
(416) 583-2442
Practice Street Address
1001 Main Street, Room 5145
Practice Address Line 2
Division Of Pediatric Medical Education
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203
Practice Country
US
Practice Phone
(647) 608-2983
Practice Fax
(416) 583-2442
Enumeration Date
June 20, 2019
Last Updated
July 01, 2020
Deactivation Date
February 05, 2020
Reactivation Date
July 01, 2020
Sex
Male
Sole Proprietor
No
Certification Date
July 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)