Individual
DR. GRACE J CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 432-3422
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 432-3422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA232804
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035934300
—
MD
Enumeration date
05/29/2008
Last updated
12/10/2015
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