Individual
BRIAN T CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8157
Mailing address
1589 BEACON ST APT 5, BROOKLINE, MA 02446-4615
(617) 726-3812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227110
MA
207RI0200X
Infectious Disease Physician
Primary
227110
MA
Other
Enumeration date
05/02/2006
Last updated
09/19/2013
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