Individual
HARRISON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 573-7284
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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