Individual
DR. STEPHEN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 GRAND ST FL 2, NEW YORK, NY 10013-4286
(212) 625-9292
(212) 625-9099
Mailing address
217 GRAND ST FL 2, NEW YORK, NY 10013-4286
(212) 625-9292
(212) 625-9099
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
172883
NY
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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