Individual
MABEL CHING YEE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR # 800, FAIRFAX, VA 22031-4867
(571) 472-8800
Mailing address
8081 INNOVATION PARK DR # 800, FAIRFAX, VA 22031-4867
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101282733
VA
Other
Enumeration date
03/21/2017
Last updated
06/12/2024
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