Individual
DR. ADAM JEFFREY FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212
(412) 359-8743
(412) 359-8233
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-2459
(412) 359-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244602
MA
2085R0202X
Diagnostic Radiology Physician
270167
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD463275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103486818
—
PA
Enumeration date
07/04/2010
Last updated
10/05/2020
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