Individual
DR. DANNY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
252 BRIDGE ST BLDG G, METUCHEN, NJ 08840
(732) 744-0003
Mailing address
252 BRIDGE ST BLDG G, METUCHEN, NJ 08840-2294
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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