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Individual

MASON JUNG CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
150 MONUMENT RD, BALA CYNWYD, PA 19004-1702
(267) 581-5328
Mailing address
110 SIBLEY AVE APT 209, ARDMORE, PA 19003-2347
(917) 815-6962

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
28RI04268200
NJ
1835P2201X
Ambulatory Care Pharmacist
Primary
RP456786
PA

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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