Individual
WILMA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Mailing address
3400 SPRUCE ST, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD454498
PA
Other
Enumeration date
12/11/2012
Last updated
07/13/2015
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