GRACE FAN

BETHLEHEM, PA
NPI1053516096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: PA  MD433763)
Additional Taxonomies2085R0001X 
(Licence: NJ  25MA09450900)
Enumeration Date2007-06-19
Last Update Date2014-05-01
Business Address
-- GRACE FAN M.D.
801 OSTRUM ST RADIATION ONCOLOGY DEPT
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4841
Mailing Address
-- GRACE FAN M.D.
PO BOX 513029
PHILADELPHIA, PA 19175-3029
Phone number: 855-709-3112
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