Individual
MARY F CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 CRANE STREET, MENLO PARK, CA 94025-4429
(650) 498-6500
Mailing address
PO BOX 60000, FILE #72484, SAN FRANCISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G66642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
04/12/2006
Last updated
07/08/2007
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