Individual
KWOK W. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01605-2903
(508) 334-8297
(508) 334-8204
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43820
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
43820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110002794A
—
MA
Enumeration date
01/28/2006
Last updated
11/19/2020
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