Doctor Name: | DEBORAH X FANG |
NPI Number: | 1033195482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 040824 |
Business Practice Address: | 2800 Main St Radiation Oncology Dept. Bridgeport, CT - 066064201 |
Business Phone Number: | 2035765085 |
Business Fax Number: | 2035765445 |
Mailing Address: | 2800 Main St, Radiation Oncology Dept. BRIDGEPORT |
State: | CT |
Postal Code: | 066064201 |
Phone Number: | 2035765085 |
Fax Number: | 2035765445 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 040824 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |