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Individual

MEW KWAN CHAN-HOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 FOXCARE DR, ONEONTA, NY 13820-2086
(607) 432-5600
(607) 431-5275
Mailing address
1 FOXCARE DR, ONEONTA, NY 13820-2086
(607) 432-5600
(607) 431-5275

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
220647
MA
208000000X
Pediatrics Physician
Primary
260889
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2060001
MA
Enumeration date
04/14/2006
Last updated
07/19/2011
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