TED FAN
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1225471998- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 20010 CENTURY BLVD STE 200, GERMANTOWN, MD, 208741118
- Phone
- (240) 686-2300
Specialties & Taxonomies
Emergency Medicine
License: DC #MD045152
Student in an Organized Health Care Education/Training Program
Emergency Medicine
Primary License: VA #0101262616