Organization
JEFF J. S. PAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF J. S. PAN MD (PRESIDENT)
(703) 534-0414
Entity
Organization
Contact information
Practice address
6408 SEVEN CORNERS PL, STE L, FALLS CHURCH, VA 22044-2011
(703) 534-0414
(703) 534-7347
Mailing address
6408 SEVEN CORNERS PL, SUITE L, FALLS CHURCH, VA 22044-2011
(703) 534-0414
(703) 534-7347
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
VA0101041614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007500459
—
VA
Enumeration date
03/12/2010
Last updated
03/12/2010
Update your record
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