Individual provider · Type 1 NPI

Thomas William Ong S. Chan, PA-STUDENT

Surgical Physician Assistant · Pittsfield, MA

NPI number 1710641964 Active

Practice location

725 North St
Pittsfield, MA 01201

Call (413) 447-2000 Map

Mailing address

2767 Galleon Cresent
Mississauga, ONTARIO L5M5T9

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1710641964

Thomas William Ong S. Chan, PA-STUDENT's National Provider Identifier is 1710641964, issued on Oct 25, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsfield, MA. The record was last updated on Aug 18, 2023.