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NPI Code Detail

MEDICARE: DR. CHI CHUNG VICTOR FOK PH.D

MEDICARE:  DR. CHI CHUNG VICTOR FOK  PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPCT.0010965CT

General Provider Information

NPI Number : 1386923910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHI CHUNG VICTOR FOK PH.D
Provider Business Mailing Address
First Line : 15 SQUIRE LN
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1417
Country : US
Telephone Number : 203-887-4267
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WHALLEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-1101
Country : US
Telephone Number : 203-891-7031
Fax Number : 203-891-7537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2011
Last Update Date : 01/21/2022

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Directions to “ DR. CHI CHUNG VICTOR FOK PH.D” Practice Location

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