Individual
DR. STEPHEN ROBERT GAN
Active
Individual
DR. STEPHEN ROBERT GAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0006775
DE
2080P0203X
Pediatric Critical Care Medicine Physician
036.155466
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
332341
NY
Other
Enumeration date
03/19/2018
Last updated
09/11/2024
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