Fang, Jack Jienan

Fang, Jack Jienan is an individual health care provider with primary practice located at 6265 Saunders St Apt 5G , Rego Park NY 11374-1576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Fang, Jack Jienan can be contacted via phone (347) 205-7909.

Contact Information

Primary practice address
6265 Saunders St Apt 5G Rego Park NY 11374-1576
Phone: (347) 205-7909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 260808 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 260808 Massachusetts

Profile Details

NPI number 1083904080
LBN Legal business name Fang, Jack Jienan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Mar 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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