Individual
DR. TEDDY D PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 EVERETT RD, COLONIE, NY 12205-1407
(518) 694-0999
Mailing address
105 EVERETT RD, COLONIE, NY 12205-1407
(518) 694-0999
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
239724-1
NY
Other
Enumeration date
01/27/2006
Last updated
02/17/2017
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