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Individual

SAMUEL C PAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 ROBBINS ST STE 2, WATERBURY, CT 06708-2652
(203) 756-8021
(203) 596-9038
Mailing address
160 ROBBINS ST STE 2, WATERBURY, CT 06708-2652
(203) 756-8021
(203) 596-9038

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
61141
CT
207RI0200X
Infectious Disease Physician
A120617
CA

Other

Enumeration date
05/21/2009
Last updated
01/26/2021
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