Individual
SARAH Y FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
653 WILLOW GROVE ST, STE 1000, HACKETTSTOWN, NJ 07840-1732
(908) 852-9020
(908) 852-5056
Mailing address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 731-9442
(973) 731-2918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08829800
NJ
207UN0901X
Nuclear Cardiology Physician
25MA08829800
NJ
Other
Enumeration date
06/01/2006
Last updated
09/03/2010
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