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Individual

DR. EDDY FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1830 E MONUMENT ST, 5TH FLOOR, BALTIMORE, MD 21205-2100
(410) 955-3467
Mailing address
1014 S DECKER AVE, BALTIMORE, MD 21224-4901
(410) 800-2502

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D65922
MD

Other

Enumeration date
07/30/2007
Last updated
09/13/2007
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