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Individual
FAN YANG
Active
Individual
FAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
053358
CT
207R00000X
Internal Medicine Physician
Primary
279258
NY
207R00000X
Internal Medicine Physician
E-10489
AR
Other
Enumeration date
02/01/2012
Last updated
03/17/2018
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