Individual
DAVID WAI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGPCNP-BC, RN
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 523-7900
Mailing address
12 GILMORE RD, SOUTHBOROUGH, MA 01772-1721
(413) 441-3986
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN216147
MA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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