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Individual
DR. DANNY PHAN
Active
Individual
DR. DANNY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00336400
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
P97883
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2015
Last updated
12/28/2018
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