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Organization

PAN DERMATOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TEDDY D PAN MD (PRINCIPAL OWNER)
(518) 694-0999
Entity
Organization

Contact information

Practice address
105 EVERETT RD, COLONIE, NY 12205-1407
(518) 694-0999
Mailing address
105 EVERETT RD, COLONIE, NY 12205-1407
(518) 694-0999

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
239724-1
NY

Other

Enumeration date
11/28/2006
Last updated
02/17/2017
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