Individual
CAROL ELIZABETH CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
59 BRAINERD RD, #413, BOSTON, MA 02134-4528
(714) 319-4868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001162
MA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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