Individual
GARY Y. FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-1761
(434) 982-3561
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101252547
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101252547
VA
Other
Enumeration date
05/18/2007
Last updated
03/22/2024
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