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DEBORAH PAN MD LLC NPI 1659758191


NPI Information

NPI: 1659758191
Provider Name: DEBORAH PAN MD LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1 AUDUBON ST
SUITE 201
NEW HAVEN, CT
ZIP 06511
Phone: (203) 562-7662
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DEBORAH PAN MD LLC is a plastic and reconstructive surgery surgery in New Haven, CT. The provider is a surgeon who specializes in plastic and reconstructive surgery. DEBORAH PAN MD LLC NPI is 1659758191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 AUDUBON ST
SUITE 201
NEW HAVEN, CT
ZIP 06511-433
Phone: (203) 562-7662
Fax: (203) 562-7663

The provider's authorized official is Deborah Pan .
The authorized official title is Owner and has the following contact phone number (203) 562-7662.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 5/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery041129CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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