Organization
PHILADELPHIA VA MEDICA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN T CHAN M.D. (FELLOW)
(215) 823-5800
Entity
Organization
Contact information
Practice address
PADRECC , PHILADELPHIA VA MEDICAL CENTER, UNIVERSITY AND WOODLAND AVENUE, PHILADELPHIA, PA 19104
(215) 823-5800
(215) 823-4603
Mailing address
4816 PINE ST, APT B202, PHILADELPHIA, PA 19143-1721
(215) 748-1346
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
086131
OH
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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