Individual
YUK CHIU CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1123 CAMPUS DR, MORGANVILLE, NJ 07751-1261
(732) 617-9797
Mailing address
5603 PLEASANT AVE, PENNSAUKEN, NJ 08110-2840
(609) 505-1834
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00245400
NJ
363AM0700X
Medical Physician Assistant
C5-0000711
DE
363AM0700X
Medical Physician Assistant
MA054446
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23-2389308
—
NJ
Enumeration date
01/11/2011
Last updated
01/11/2011
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