Individual
DR. KUNG-MING JAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3050 CORLEAR AVE, SUITE 204, BRONX, NY 10463-5180
(718) 601-4800
(718) 601-6102
Mailing address
3050 CORLEAR AVE., SUITE 204, BRONX, NY 10463-5180
(718) 601-4800
(718) 601-6102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122967
NY
207RC0000X
Cardiovascular Disease Physician
Primary
122967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00592374
—
NY
Enumeration date
12/27/2005
Last updated
09/19/2012
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