Individual
EMILY GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1305 POST RD STE 310, FAIRFIELD, CT 06824-6016
(203) 259-7709
(203) 259-7709
Mailing address
5 CABOT RD UNIT 335, MEDFORD, MA 02155-5287
(860) 593-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
07/17/2024
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