Individual
MS. LYDIA PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(626) 456-2358
Mailing address
1301 SCHINDLER DR, ABERDEEN, NJ 07747-3752
(626) 456-2358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
05/10/2019
Last updated
12/17/2019
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