Provider Demographics
NPI:1780631572
Name:GAN, BING SIANG (MD)
Entity Type:Individual
Prefix:
First Name:BING SIANG
Middle Name:
Last Name:GAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. JOSEPH'S HEALTH CENTER
Mailing Address - Street 2:268 GROSVENOR STREET
Mailing Address - City:LONDON
Mailing Address - State:ON
Mailing Address - Zip Code:N6A4L6
Mailing Address - Country:CA
Mailing Address - Phone:519-646-6097
Mailing Address - Fax:
Practice Address - Street 1:ST. JOSEPH'S HLTH CTRE
Practice Address - Street 2:268 GROSVENOR STREET
Practice Address - City:LONDON
Practice Address - State:ON
Practice Address - Zip Code:N6A4L6
Practice Address - Country:CA
Practice Address - Phone:519-646-6097
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81354208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery