Individual provider · Type 1 NPI

Henry Jingyuan Fan, MD

Student in an Organized Health Care Education/Training Program · Norwalk, CT

NPI number 1023742277 Active

Practice location

34 Maple Street
Norwalk, CT 06850-3815

Mailing address

515 West Ave, NB421
Norwalk, CT 06850

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023742277

Henry Jingyuan Fan, MD's National Provider Identifier is 1023742277, issued on Jul 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norwalk, CT. The record was last updated on Mar 7, 2023.