Pan, Deborah
Pan, Deborah is an sole proprietor health care provider with primary practice located at 1 Audubon St Suite 201, New Haven CT 06511-6433. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Pan, Deborah can be contacted via phone (203) 562-7662.Contact Information
Primary practice address
1 Audubon St Suite 201
New Haven CT 06511-6433
Phone: (203) 562-7662
Fax: (203) 562-7663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 041129 | Connecticut |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 041129 | Connecticut |
Profile Details
| NPI number | 1568408607 |
|---|---|
| LBN Legal business name | Pan, Deborah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | May 5th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568408607 | NPPES |
| Connecticut | MEDICAID | 001411298 |
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