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Individual

DR. JUAN JOSE GAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 S BRYN MAWR AVE STE 160, BRYN MAWR, PA 19010-3121
(484) 337-1286
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1286

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD436963
PA
2084P0800X
Psychiatry Physician
MT187199
PA

Other

Enumeration date
05/11/2007
Last updated
06/18/2025
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