Dapeng Fan MD

NPI 1619116597 - Anesthesiology - 207L00000X

NPI Details
NPI 1619116597
Gender Male
Enumeration Date 02/17/2009
Last Updated 06/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
355 BARD AVE
STATEN ISLAND NY, 10310-1664, US
Phone (718) 818-2843
Fax (718) 818-4709
Business Location
1 BEACH 105TH ST
APT. 1X
ROCKAWAY PARK NY, 11694-2695, US
Phone (201) 804-2800
Fax (201) 804-8883
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 253526
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According to our database, Dapeng Fan MD NPI is 1619116597, taxonomy code is 207L00000X and license number is 253526, license state is located at New York. Dapeng Fan MD physically located at 355 Bard Ave, Staten Island NY, 10310-1664. NPI Number Dapeng Fan MD has the Individual type.

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1619116597 NPI number is provided on an as is basis without warranty of any kind. 1619116597 is maintained by the National Plan & Provider Enumeration System. The contents of Dapeng Fan MD are for informational purposes only.