Individual provider · Type 1 NPI
Dominique M. Jan, MD
Pediatric Surgery Physician · Bronx, NY
NPI number
1790726982
Active
Practice location
3355 Bainbridge Ave
Bronx, NY 10467-2801
Fax (718) 547-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Transplant Surgery Physician | 204F00000X | 0024381 (NY) |
| Pediatric Surgery Physician Primary | 2086S0120X | 250182 (NY) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Other pediatric surgery physician providers in Bronx
About NPI 1790726982
Dominique M. Jan, MD's National Provider Identifier is 1790726982, issued on Jun 9, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Bronx, NY. The record was last updated on Jan 19, 2012.