Fan, Roger

Fan, Roger is an individual health care provider with primary practice located at Health Sciences Ctr T16-080, Stony Brook NY 11794-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fan, Roger can be contacted via phone (631) 444-1226.

Contact Information

Primary practice address
Health Sciences Ctr T16-080 Stony Brook NY 11794-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MT184514 Pennsylvania

Profile Details

NPI number 1508928128
LBN Legal business name Fan, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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