Individual
PHILIP CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE # RABB239, BOSTON, MA 02215
(617) 667-5048
Mailing address
330 BROOKLINE AVE # RABB239, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
267838
MA
Other
Enumeration date
07/11/2016
Last updated
08/01/2018
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