Individual
VINCENT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 WALNUT ST STE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
Mailing address
834 WALNUT ST STE 650, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT214679
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT214679
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD472168
PA
207RP1001X
Pulmonary Disease Physician
MT214679
PA
Other
Enumeration date
11/01/2017
Last updated
11/12/2025
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