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Individual
DR. CYNTHIA MARIE CHAN
Active
Individual
DR. CYNTHIA MARIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
042-0016915
VT
2085N0700X
Neuroradiology Physician
149065
CA
2085R0202X
Diagnostic Radiology Physician
MD466550
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT202180
PA
Other
Enumeration date
06/08/2012
Last updated
07/17/2023
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