Individual
DR. RUNG TAN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
(718) 579-5027
Mailing address
2 SUMMER ST, GREAT NECK, NY 11021-3832
(516) 466-5425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
140881
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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