Individual
ERIC FAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ORCHARD ST, 303, NEW HAVEN, CT 06511-5363
(203) 867-5600
Mailing address
200 ORCHARD ST, 303, NEW HAVEN, CT 06511-5363
(203) 867-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038797
CT
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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