Individual
DR. WEN - LING LEE FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 OLDHAM RD, WAYNE, NJ 07470-2208
(973) 904-6126
Mailing address
PO BOX 39, LIVINGSTON, NJ 07039-0039
(973) 533-1959
(973) 214-5128
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA034358
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0875201
—
NJ
Enumeration date
01/03/2007
Last updated
07/08/2007
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