Individual
HIEP C PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2119 MARIETTA AVE, SUITE 1, LANCASTER, PA 17603-2207
(717) 735-9222
(717) 735-3755
Mailing address
409 SOUTH SECOND STREET, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD418957
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100815879
—
PA
Enumeration date
06/09/2006
Last updated
02/06/2021
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