Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khanh Bao Phan, DO

Individual provider Pediatrics Physician · NPI 1871804328

Dr. Khanh Bao Phan, DO is a Pediatrics Physician in Union, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1651 Earl St
Union, NJ 07083-5531
Phone: (908) 591-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MB08718100 (NJ)

Record details

NPI number1871804328
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 30, 2010
Last updated in NPPESJune 30, 2010
Mailing address1651 Earl St, Union, NJ 07083-5531

Other providers in Union