Individual
DR. JENNIFER AI-WEN CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-7532
(617) 975-0944
Mailing address
21 RANDOLPH ST, NEWTON, MA 02461-1308
(617) 244-3863
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
213540
MA
207ZP0101X
Anatomic Pathology Physician
Primary
213540
MA
Other
Enumeration date
11/11/2005
Last updated
09/11/2025
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