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'young C Fan Md'
Specialist in Titusville, Pennsylvania
NPI 1073585741

'young C Fan Md' is a Specialist based in Titusville, PA. 'young C Fan Md' practices in Titusville, PA. The NPI Number for 'young C Fan Md' is 1073585741 and holds a License No. MD033897L (Pennsylvania).

The current practice location address for 'young C Fan Md' is 119 E Mechanic St, Titusville, PA and can be reached out via phone at 814-827-4602 and via fax at 814-827-6322.

Location: 119 E Mechanic St, Titusville, PA, 16354-2161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073585741
Provider Name
'young C Fan Md'
Credential
Provider Entity Type
Organization
Address
119 E Mechanic St, Titusville, PA, 16354-2161
Phone Number
814-827-4602
Fax Number
814-827-6322
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006010740001 05 PA
032140 01 PA PENNSYLVANIA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
119 E Mechanic St
City
Titusville
State
Pennsylvania
Zip
16354-2161
Phone Number
814-827-4602
Fax Number
814-827-6322
person
Provider Business Mailing Address Details
Address
119 E Mechanic St
City
Titusville
State
Pennsylvania
Zip
16354-2161
Phone Number
814-827-4602
Fax Number
814-827-6322
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD033897L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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