Individual
DR. ANNIE WAIFONG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BLOSSOMS STREET, COX LL MASSACHUSETTS GENERAL HOSPITAL,, BOSTON, MA 02114
(617) 724-1159
(617) 726-3603
Mailing address
55 FRUIT STREET, COX 337 MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-1159
(617) 726-3603
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
205315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117170
—
MA
01
—
205315
TUFTS HEALTH PLAN
MA
01
—
J22411
BCBS MA
MA
Enumeration date
06/29/2006
Last updated
02/18/2011
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