Individual
DR. MARC HUANG PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, MD
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 GARTH RD, SCARSDALE, NY 10583-3750
(646) 580-3467
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
059098
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2010
Last updated
11/17/2017
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