Individual
SAMANTHA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 WINTER STREET, BOSTON ORTHO AND SPINE, WALTHAM, MA 02451
(617) 738-8642
Mailing address
840 WINTER ST, BOSTON ORTHOPAEDICS AND SPINE, WALTHAM, MA 02451-1433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8574
MA
Other
Enumeration date
02/10/2021
Last updated
04/26/2022
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