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Individual

JIAWEI FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
314 MERWIN AVENUE, MILFORD, CT 06460
(203) 932-4476
(203) 932-4176
Mailing address
314 MERWIN AVENUE, MILFORD, CT 06460
(203) 932-4476
(203) 932-4176

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002251
CT

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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