Individual
DR. JUNG E CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1340 BOYLSTON STREET, BOSTON, MA 02215
(617) 267-0900
Mailing address
1723 WASHINGTON ST, APT 208, BOSTON, MA 02118-1820
(617) 784-3570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705667
—
MA
01
—
468671
TUFTS HEALTH PLAN
MA
01
—
AA45472
HARVARD PILGRIM HEALTH CA
MA
01
—
W16364
BCBS
MA
Enumeration date
12/15/2005
Last updated
03/09/2009
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