Individual
YUJUN GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR DEPT OF, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
22392
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2016015535
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016015535
MO LICENSE
MO
Enumeration date
05/23/2016
Last updated
07/20/2022
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