HENRY JINGYUAN FAN

NORWALK, CT
NPI1023742277
Former NameJINGYUAN FAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-13
Last Update Date2023-03-07
Business Address
Dr. HENRY JINGYUAN FAN M.D.
34 MAPLE STREET
NORWALK, CT 06850-3815
Phone number: 203-852-2023
Mailing Address
Dr. HENRY JINGYUAN FAN M.D.
515 WEST AVE NB421
NORWALK, CT 06850
Phone number: 347-556-3878
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