Dr Susannah Audrey Tung, MD | |
1635 Central Ave, Bridgeport, CT 06610-2717 | |
(203) 551-7400 | |
Not Available |
Full Name | Dr Susannah Audrey Tung |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1635 Central Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932400033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 049311 (Connecticut) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785 |
Entity Name | St. Vincent's Multispecialty Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
Mailing Address | Practice Location Address |
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Dr Susannah Audrey Tung, MD 1635 Central Ave, Bridgeport, CT 06610-2717 Ph: (203) 551-7400 | Dr Susannah Audrey Tung, MD 1635 Central Ave, Bridgeport, CT 06610-2717 Ph: (203) 551-7400 |
Dr. Javier Lopez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Raj Kumari Bansal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 | |
Dr. Vanja Kondev, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 340 Capitol Ave, Bridgeport, CT 06606 Phone: 203-367-5589 Fax: 203-330-0838 | |
Dr. Reginald Anthony Hoffler, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1106 North Ave, Bridgeport, CT 06604 Phone: 203-579-6131 Fax: 203-382-8464 | |
Dr. Anthony Louis Labruzza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 | |
Joy Reyes, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3897 Fax: 203-384-3950 | |
Dr. David Arthur Carlson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481 |