Individual provider · Type 1 NPI

Phoenix Lau Chan, DO

Student in an Organized Health Care Education/Training Program · Stratford, NJ

NPI number 1174015366 Active

Practice location

42 E Laurel Rd Ste 2100A
Stratford, NJ 08084-1354

Call (856) 566-6477 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174015366

Phoenix Lau Chan, DO's National Provider Identifier is 1174015366, issued on Jun 4, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stratford, NJ. The record was last updated on Dec 20, 2021.