Individual
DR. WAI BEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 MARTER AVE, MOORESTOWN, NJ 08057-3124
(856) 608-8840
(856) 722-1898
Mailing address
110 MARTER AVE, MOORESTOWN, NJ 08057-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09368400
NJ
207Q00000X
Family Medicine Physician
266942-1
NY
Other
Enumeration date
08/06/2010
Last updated
04/22/2016
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