Individual
KIT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8843
(617) 421-2040
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8843
(617) 421-2040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237866
MA
207Q00000X
Family Medicine Physician
A76298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159333
—
MA
Enumeration date
01/08/2007
Last updated
07/20/2011
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