Young C. Fan in Titusville - Specialist

Young C. Fan - NPI 1447471487

Young C. Fan is a Specialist in Titusville, Pennsylvania. Young C. Fan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Young C. Fan is 1447471487. The last update date is 2007-07-08.

Young C. Fan's current location address is 119 East Mechanic Street, Titusville, Pennsylvania. You can contact this provider via phone number 8148274602 and fax number 8148276322. The mailing address for Young C. Fan is 119 East Mechanic Street, Titusville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Young C. Fan
Address 119 East Mechanic Street, Titusville, Pennsylvania
Phone Number 8148274602
Fax Number 8148276322
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1447471487
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 119 East Mechanic Street
City Titusville
State Pennsylvania (PA)
Post Code 163542161
Phone Number 8148274602
Fax Number 8148276322

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD033879L
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6010740001 PA --
32140 PA PENNSYLVANIA BLUE SHIELD

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FAQs about Young C. Fan

What is the Young C. Fan's 1447471487?

The Young C. Fan's NPI (National Provider Identifier) Number is 1447471487. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Young C. Fan is physically located?

The Young C. Fan is physically situated at the following address: 119 East Mechanic Street, Titusville, PA, 163542161.

What is Young C. Fan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Young C. Fan is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447471487 to Young C. Fan?

The Young C. Fan received its 1447471487 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.

When was the information related to Young C. Fan most recently updated or refreshed?

The details pertaining to the Young C. Fan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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