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Individual

ALBERT C YAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3550 MARKET ST FL 2, CHILDREN'S HOSPITAL OF PHILADELPHIA - DERMATOLOGY DIV, PHILADELPHIA, PA 19104-3366
(215) 590-9119
(215) 590-4948
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9258
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD059207L
PA
208000000X
Pediatrics Physician
MD059207L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001625910
PA
05
7197608
NJ
Enumeration date
07/31/2006
Last updated
03/05/2015
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