Tony Fu Md Sc in Evanston - Procedural Dermatology
Tony Fu Md Sc - NPI 1588730501
Tony Fu Md Sc is a Procedural Dermatology in Evanston, Illinois. Tony Fu Md Sc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Tony Fu Md Sc is 1588730501. The last update date is 2007-12-14.
Tony Fu Md Sc's current location address is 636 Church St Ste 222, Evanston, Illinois. You can contact this provider via phone number 8473283913 and fax number 8473283952. The mailing address for Tony Fu Md Sc is 636 Church St Ste 222, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tony Fu Md Sc |
|---|---|
| Address | 636 Church St Ste 222, Evanston, Illinois |
| Phone Number | 8473283913 |
| Fax Number | 8473283952 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fu S Tony |
| Credentials | MD |
| Telephone Number | 8473283913 |
NPI Number Detail
| NPI Number | 1588730501 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
| Address | 636 Church St Ste 222 |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 60201 |
| Phone Number | 8473283913 |
| Fax Number | 8473283952 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 3648697 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the unique 10-digit identifier code issued to Tony Fu Md Sc by the Centers for Medicare & Medicaid Services?
The Tony Fu Md Sc has been assigned the NPI (National Provider Identifier) 1588730501 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Tony Fu Md Sc's physical address?
The Tony Fu Md Sc is physically located at 636 Church St Ste 222, in the city of Evanston, IL, with the postal code 60201.
What is Tony Fu Md Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tony Fu Md Sc's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date did the Tony Fu Md Sc receive its 1588730501 assignment from the Centers for Medicare & Medicaid Services?
The Tony Fu Md Sc was assigned its 1588730501 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the details related to Tony Fu Md Sc most recently updated or revised?
The information pertaining to Tony Fu Md Sc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-14.