NPI 1972769768 · live from the CMS NPI Registry
Yuebo Gan, M.D., Ph.D.
Pathology, Anatomic Pathology & Clinical Pathology in Vineland, NJ. National Provider Identifier 1972769768, active.
NPI record
| NPI | 1972769768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pathology, Anatomic Pathology & Clinical Pathology 207ZP0102X |
| Practice location | 1505 W Sherman Avenue, Vineland, NJ 08360 |
| Practice phone | 856-690-1305 |
| Mailing address | 1138 E Chestnut Avenue, 7c, Vineland, NJ 08360 |
| Enumerated | August 1, 2008 |
| Last updated | December 30, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | MT 189556 (PA) |
| Pathology, Anatomic Pathology & Clinical Pathology primary | 207ZP0102X | 25MA9045700 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.