Individual
DR. DAVID FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
307971
NY
Other
Enumeration date
06/08/2015
Last updated
02/13/2024
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