Individual
DR. WEN-LIN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-1808
(215) 762-4721
Mailing address
1500 MARKET ST, 24TH FLOOR -WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD421435
PA
2085R0202X
Diagnostic Radiology Physician
25MA08828100
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD421435
PA
Other
Enumeration date
02/09/2006
Last updated
12/14/2023
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