Individual
EUGENIA CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-6084
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
156686
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
156686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015203
NEIGHBORHOOD HEALTH
MA
01
—
156686
TUFTS
MA
05
—
3199681
—
MA
01
—
AA17606
HARVARD PILGRIM
MA
01
—
J21142
BLUE CROSS
MA
Enumeration date
03/24/2006
Last updated
09/11/2025
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