Organization
ERIC FAN, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC FAN M.D. (MANAGER)
(203) 867-5600
Entity
Organization
Contact information
Practice address
200 ORCHARD ST, SUITE 303, NEW HAVEN, CT 06511-5363
(203) 867-5600
(203) 867-5604
Mailing address
200 ORCHARD ST, SUITE 303, NEW HAVEN, CT 06511-5363
(203) 867-5600
(203) 867-5604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038797
CT
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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