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1114966561
ERIC FAN
NEW HAVEN, CT
NPI
1114966561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 038797)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
-- ERIC FAN M.D.
200 ORCHARD ST 303
NEW HAVEN, CT 06511-5363
Phone number: 203-867-5600
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Mailing Address
-- ERIC FAN M.D.
200 ORCHARD ST 303
NEW HAVEN, CT 06511-5363
Phone number: 203-867-5600
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