Organization
TODT HILL DIGESTIVE MEDICAL DISEASE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLEN CHAN MD (PRESIDENT)
(718) 448-1122
Entity
Organization
Contact information
Practice address
78 TODT HILL ROAD, SUITE 301, STATEN ISLAND, NY 10314-4536
(718) 986-5394
(718) 785-9864
Mailing address
78 TODT HILL RD, SUITE 301, STATEN ISLAND, NY 10314-4513
(718) 986-5394
(718) 785-9864
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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