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1508928128
ROGER FAN
STONY BROOK, NY
NPI
1508928128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: PA MT184514)
Enumeration Date
2006-12-14
Last Update Date
2008-09-15
Business Address
-- ROGER FAN MD
HEALTH SCIENCES CTR T16-080
STONY BROOK, NY 11794-0001
Phone number: 631-444-1226
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Mailing Address
-- ROGER FAN MD
HEALTH SCIENCES CTR T16-080
STONY BROOK, NY 11794-0001
Phone number: 631-444-1226
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