Individual
MR. CHARLES KING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 BOWERY, 6TH FLOOR, NEW YORK, NY 10013
(212) 226-1221
(212) 226-1127
Mailing address
78 BOWERY, 6TH FLOOR, NEW YORK, NY 10013
(212) 226-1221
(212) 226-1127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
175969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01849105
—
NY
Enumeration date
08/12/2006
Last updated
08/10/2018
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