Individual
BERNADETTE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 GOVERNORS AVE, PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6103
(781) 306-6206
Mailing address
170 GOVERNORS AVE, PROMPT CARE - LAWRENCE MEMORIAL HOSPITAL, MEDFORD, MA 02155-1643
(781) 306-6103
(781) 306-6206
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
60545
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
10/26/2005
Last updated
04/27/2012
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