Individual
IAIN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2620 EASTON RD, HELLERTOWN, PA 18055-3312
(570) 357-6163
Mailing address
2620 EASTON RD, HELLERTOWN, PA 18055-3312
(570) 357-6163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
202243
NY
2085R0202X
Diagnostic Radiology Physician
20224301
NY
2085R0202X
Diagnostic Radiology Physician
Primary
OS009864L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697024
—
PA
Enumeration date
08/22/2006
Last updated
07/28/2025
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