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Individual

DR. CHONG KIT WILLIAM CHAN

Active
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Individual

DR. CHONG KIT WILLIAM CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1821
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362719
—
MA
01
—
33136
HARVARD PILGRIM
MA
01
—
64831
FALLON
MA
01
—
709117
TUFTS
MA
01
—
Y70845
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/20/2006
Last updated
09/14/2017
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