Individual
DR. CHU KUANG PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 ELIZABETH STREET, 4TH FLOOR, NEW YORK, NY 10013
(212) 431-5501
Mailing address
7543 194TH ST, FLUSHING, NY 11366-1837
(718) 479-9320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179718
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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