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Individual

ZHEN FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0060495
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40269600
MD
01
60322601
BLUE SHIELD
MD
01
R4270006
GHI
DC
Enumeration date
11/16/2006
Last updated
11/01/2010
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