Individual
MICHELE MIN-I FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 5 MALONEY, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Mailing address
3400 SPRUCE ST, 5 MALONEY, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD456340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A895700
—
CA
Enumeration date
11/29/2006
Last updated
05/01/2019
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