Individual
EDWIN PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 STEVENS AVE, SUITE 2, MT VERNON, NY 10550
(914) 668-5585
(914) 668-5603
Mailing address
153 STEVENS AVE, SUITE 2, MT VERNON, NY 10550
(914) 668-5585
(914) 668-5603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
197978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01765475
—
NY
Enumeration date
08/10/2006
Last updated
07/08/2007
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