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PETER C FAN — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED AUDIOLOGIST, NJ)

PETER C FAN — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED AUDIOLOGIST, NJ) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: PETER C FAN; Type: Individual; NPI: 1003077405.

NamePETER C FAN
TypeIndividual
NPI1003077405
Provider typePRACTITIONER - QUALIFIED AUDIOLOGIST
StateNJ
Enrollment IDI20180515000216
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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