Individual
DR. IRIS TANCHI CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
44 BINNEY STREET, SUITE D1 B30, BOSTON, MA 02115
(617) 632-6922
(617) 355-9092
Mailing address
400 BROOKLINE AVENUE, APT 21 G, BOSTON, MA 02215
(617) 278-6064
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
210272
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2043700
—
MA
01
—
210272
TUFTS
—
01
—
3717129
AETNA US HEALTHCARE
—
01
—
4637244
CIGNA
—
01
—
AA11737
HPHC DFCI ONLY
—
01
—
J27354
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/01/2006
Last updated
07/09/2007
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