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Dr. Dominique M. Jan, MD
Pediatric Surgery Physician in Bronx, New York
NPI 1790726982

Dominique M. Jan is a Pediatric Surgery Physician based in Bronx, NY and is specialized in Pediatric Surgery. Dominique M. Jan practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Dominique M. Jan is 1790726982 and holds a License No. 0024381 (New York).

The current practice location address for Dominique M. Jan is 3355 Bainbridge Ave, Bronx, NY and can be reached out via phone at 718-920-7200 and via fax at 718-547-2929.

Location: 3355 Bainbridge Ave, Bronx, NY, 10467-2801
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Provider Profile Details
NPI Number
1790726982
Provider Name
Dominique M. Jan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3355 Bainbridge Ave, Bronx, NY, 10467-2801
Phone Number
718-920-7200
Fax Number
718-547-2929
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02729091 05 NY
institution
Provider Business Practice Location Address Details
Address
3355 Bainbridge Ave
City
State
Zip
10467-2801
Phone Number
718-920-7200
Fax Number
718-547-2929
person
Provider Business Mailing Address Details
Address
3355 Bainbridge Ave
City
State
Zip
10467-2801
Phone Number
718-920-7200
Fax Number
718-547-2929
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
License No.
250182 (New York)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
0024381 (New York)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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