Individual
FOUN-CHUNG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25B VREELAND RD, FLORHAM PARK, NJ 07932-1900
(973) 660-9334
(973) 660-9732
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA03990800
NJ
207L00000X
Anesthesiology Physician
Primary
MA03990800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3092801
—
NJ
Enumeration date
02/22/2007
Last updated
02/28/2017
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