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Individual
JENNIFER P CHAN
Active
Individual
JENNIFER P CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD068706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001789378
—
PA
Enumeration date
06/30/2005
Last updated
08/20/2025
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