Individual
NINA PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2422 BRISTOL RD, BENSALEM, PA 19020-6002
(215) 718-8988
(215) 752-9708
Mailing address
2501 NASHUA RD, BENSALEM, PA 19020-2260
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00030700
NJ
171100000X
Acupuncturist
Primary
AK000632
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANJ370
LANDMARK INSURANCE
NJ
01
—
APA0632
LANDMARK INSURANCE
PA
Enumeration date
01/17/2007
Last updated
07/08/2007
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