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Individual
FANG BU
Active
Individual
FANG BU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
35.133826
OH
207ZP0213X
Pediatric Pathology Physician
Primary
67836
MN
208000000X
Pediatrics Physician
2009013425
MO
208000000X
Pediatrics Physician
34989
SC
208000000X
Pediatrics Physician
35.133826
OH
390200000X
Student in an Organized Health Care Education/Training Program
MD34989
SC
Other
Enumeration date
09/04/2009
Last updated
10/06/2020
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