| Shou-yuan Fan, LAC | |
|
500 Mount Prospect Ave, Newark, NJ 07104-2904 | |
| (973) 350-0073 | |
| Not Available |
| Full Name | Shou-yuan Fan |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 500 Mount Prospect Ave, Newark, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003134206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 25MZ00073400 (New Jersey) | Primary |
| 171100000X | Acupuncturist | 004232 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shou-yuan Fan, LAC 500 Mount Prospect Ave, Newark, NJ 07104-2904 Ph: () - | Shou-yuan Fan, LAC 500 Mount Prospect Ave, Newark, NJ 07104-2904 Ph: (973) 350-0073 |
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