Individual provider · NPI-1

Timothy Fan, MD

Otolaryngology · Bethlehem, PA

NPI number1821737495
StatusActive
Last updated in NPPESJun 1, 2022

Details

NPI
1821737495
Entity type
Individual (NPI-1)
Name
Timothy Fan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2022
Certification date
Jun 1, 2022
Last updated
Jun 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyHS000216LPAYes

Practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Phone 866-785-8537

Mailing address

1927b Allwood Dr
Bethlehem, PA 18018-1256

Phone 512-800-5368

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Otolaryngology providers in Bethlehem, PA