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Individual

CHRIS Y FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8395
(717) 531-5726
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD057109L
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD057109L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016933100002
PA
Enumeration date
05/03/2006
Last updated
05/14/2018
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