Individual
ALBERT V CHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, WL20, CLEVELAND, OH 44195-0001
(440) 899-5555
Mailing address
9500 EUCLID AVE, WL20, CLEVELAND, OH 44195-0001
(440) 899-5555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35091226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2830726
—
OH
Enumeration date
06/30/2005
Last updated
11/02/2011
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