Individual
GINA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 SILVERSIDE RD, SUITE 3, WILMINGTON, DE 19810-3719
(302) 478-0400
(302) 478-3827
Mailing address
2700 SILVERSIDE RD, SUITE 3, WILMINGTON, DE 19810-3719
(302) 478-0400
(302) 478-3827
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
C10006882
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000034821
—
DE
01
—
1480583
UNITED HEALTH CARE
DE
01
—
2243460000
AMERIHEALTH
DE
01
—
DE11112
BCBSDE
DE
01
—
P00055687
RAILROAD MEDICARE
DE
Enumeration date
04/18/2006
Last updated
09/21/2010
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