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Individual

DR. DEBORAH PAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(203) 562-7662
(203) 562-7663
Mailing address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(203) 562-7662
(203) 562-7663

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
041129
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
041129
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001411298
CT
Enumeration date
06/20/2006
Last updated
05/05/2015
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