Individual
ELAINE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-5681
(570) 271-6578
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-9907
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD451348
PA
2086S0127X
Trauma Surgery Physician
MD451348
PA
390200000X
Student in an Organized Health Care Education/Training Program
TRN 18307
FL
Other
Enumeration date
11/26/2009
Last updated
07/21/2022
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