Individual
ANTHONY P CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
198 CANAL STREET, SUITE 501, NEW YORK, NY 10013
(212) 219-8010
(212) 219-8121
Mailing address
PO BOX 780507, MASPETH, NY 11378
(212) 219-8010
(212) 219-8121
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
197396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01728234
—
NY
Enumeration date
10/11/2006
Last updated
07/08/2007
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