Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK JIENAN FANG, M.D.
ActiveMR. JACK JIENAN FANG, M.D. is a Hospitalist healthcare provider located in REGO PARK, New York. NPI 1083904080 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · REGO PARK, NY
Registration Details
- NPI Number
- 1083904080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2011 (15.376071477122 yrs)
- Last Updated
- Mar 26, 2018
- Licenses
-
260808 (MA)260808 (MA)
Practice Information
- Address
-
6265 SAUNDERS ST APT 5GREGO PARK, NY, 113741576Browse NY providers · Browse ZIP 11374
- Phone
- 3472057909
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Hospitalist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.