Individual
MR. MATTHEW K KAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2572
(203) 785-3950
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3815
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3923
CT
Other
Enumeration date
06/04/2017
Last updated
07/16/2019
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