Individual
DR. CHANDAT DO PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(800) 789-7366
Mailing address
301 E 2ND ST APT 204, HUMMELSTOWN, PA 17036-1706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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