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Individual

ANTHONY CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20101 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 204-8168
(510) 506-7729
Mailing address
2345 COUNTRY HILLS DR # 100, ANTIOCH, CA 94509-7319
(925) 418-0282
(925) 978-0991

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A156682
CA
390200000X
Student in an Organized Health Care Education/Training Program
OH

Other

Enumeration date
05/17/2013
Last updated
03/09/2022
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