Philip A Chan MD

NPI 1265658116 - Internal Medicine - 207RI0200X

NPI Details
NPI 1265658116
Gender Male
Enumeration Date 04/18/2007
Last Updated 12/19/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1125 N MAIN ST
PROVIDENCE RI, 02904-5739, US
Phone (401) 793-2928
Fax (401) 793-7401
Business Location
PROVIDENCE RI, 02905-4406, US
Taxonomy Code 207RI0200X
License State Rhode Island
License Number MD12984
Remove 1265658116 NPI Number

According to our database, Philip A Chan MD NPI is 1265658116, taxonomy code is 207RI0200X and license number is MD12984, license state is located at Rhode Island. Philip A Chan MD physically located at 1125 N Main St, Providence RI, 02904-5739. NPI Number Philip A Chan MD has the Individual type.

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1265658116 NPI number is provided on an as is basis without warranty of any kind. 1265658116 is maintained by the National Plan & Provider Enumeration System. The contents of Philip A Chan MD are for informational purposes only.