Jack Jienan Fang M.D.

NPI 1083904080 - Internal Medicine - 207R00000X

NPI Details
NPI 1083904080
Gender Male
Enumeration Date 04/11/2011
Last Updated 10/28/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
6265 SAUNDERS ST APT 5G
REGO PARK NY, 11374-1576, US
Phone (347) 205-7909
Fax
Business Location
4323 COLDEN ST APT 19M
FLUSHING NY, 11355-5926, US
Phone (347) 205-7909
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 260808
Remove 1083904080 NPI Number
 

According to our database, Mr. Jack Jienan Fang M.D. NPI is 1083904080, taxonomy code is 207R00000X and license number is 260808, license state is located at Massachusetts. Jack Jienan Fang M.D. physically located at 6265 Saunders St Apt 5g, Rego Park NY, 11374-1576. NPI Number Jack Jienan Fang M.D. has the Individual type.

Sponsored links

1083904080 NPI number is provided on an as is basis without warranty of any kind. 1083904080 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Jienan Fang M.D. are for informational purposes only.