Organization
DEBORAH PAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH PAN M.D. (OWNER)
(203) 562-7662
Entity
Organization
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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
041129
CT
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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