Individual provider · Type 1 NPI

Brian Pak Ho Chan, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1194205237 Active · reactivated Apr 1, 2019

Practice location

330 Brookline Avenue, Stoneman 458
Boston, MA 02215

Call (617) 667-2136 Map

Fax (617) 667-1728

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X277470 (MA)

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 1194205237

Brian Pak Ho Chan, MD's National Provider Identifier is 1194205237, issued on Aug 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 10, 2019.