Individual
DR. GAVIN GEORGE FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(917) 690-9777
Mailing address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
283659
NY
Other
Enumeration date
04/23/2012
Last updated
05/11/2022
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