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Individual

DR. JESSICA B. CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(310) 267-2058
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(310) 267-2058

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A94187
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A94187
CA

Other

Enumeration date
11/18/2008
Last updated
12/13/2021
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