Individual
DR. BENJAMIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(203) 885-0808
(203) 885-0813
Mailing address
400 E MAIN ST, NWH ED C/O CAROL FORREST, MOUNT KISCO, NY 10549-3417
(914) 666-1254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
282522
NY
207P00000X
Emergency Medicine Physician
Primary
62052
CT
Other
Enumeration date
06/27/2012
Last updated
10/07/2019
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