Individual
JASON FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-3937
Mailing address
2351 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2025-01890
NC
Other
Enumeration date
03/20/2019
Last updated
10/19/2025
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