Active NPIOrganization

Deborah Pan MD LLC

Surgery, Plastic and Reconstructive Surgery in New Haven, Connecticut

NPI Number1659758191
Practice location
1 Audubon St, Suite 201, New Haven, CT 06511-6433
Fax
203-562-7663
Last updated
May 5, 2015

Deborah Pan MD LLC is a healthcare organization based in New Haven, CT. Deborah Pan MD LLC practices in New Haven, CT. The NPI Number for Deborah Pan MD LLC is 1659758191 and holds a License No. 041129 (CT). The current practice location address for Deborah Pan MD LLC is 1 Audubon St, Suite 201, New Haven, CT 06511-6433 and can be reached out via phone at 203-562-7662 and via fax at 203-562-7663.

Provider Profile Details

NPI Number
1659758191
Provider Name
Deborah Pan MD LLC
Provider Entity Type
Organization
Address
1 Audubon St, Suite 201, New Haven, CT 06511-6433
Phone Number
203-562-7662
Fax Number
203-562-7663
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Organization Subpart
No
Authorized Official
Dr. Deborah Pan, MD · Owner · 203-562-7662
Provider Enumeration Date
May 5, 2015
Last Update Date
May 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Audubon St
Suite 201
New Haven, CT 06511-6433
Zip
06511-6433
Phone Number
203-562-7662
Fax Number
203-562-7663
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
1 Audubon St
Suite 201
New Haven, CT 06511-6433
City
New Haven
State
CT
Zip
06511-6433
Phone Number
203-562-7662
Fax Number
203-562-7663

License Information

License Number
041129
License State
CT
Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah Pan MD LLC?

The NPI number of Deborah Pan MD LLC is 1659758191. It was assigned on May 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Deborah Pan MD LLC?

Deborah Pan MD LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 041129.

Where does Deborah Pan MD LLC practice?

The practice location is 1 Audubon St, Suite 201, New Haven, CT 06511-6433. The office can be reached at 203-562-7662 (phone) or 203-562-7663 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659758191 directly on the NPPES registry website.

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