Edmond M. Chan
Internist Medical Oncology
450 Brookline Ave
Boston
, Massachusetts 02215-5418
Edmond M. Chan
Internist Medical Oncology
450 Brookline Ave
Boston
, Massachusetts 02215-5418
(617) 726-2375
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About
Features
Specialties
- Internist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Edmond M. Chan
- 55 Fruit St. Massachusetts General Hospital
- Boston, MA
- Zip : 02114
- Phone : (617) 726-2375
Second Address
- Edmond M. Chan
- 450 Brookline Ave
- Boston, MA
- Zip : 02215-5418
- Fax : (617) 632-5370
- Phone : (617) 632-4500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | L-255153 | MA |
| N | 111NI0900X | Internist | L-255153 | MA |
| Y | 207RX0202X | Medical Oncology | 273150 | MA |
National Provider Identifier
| NPI | 1053751602 |
|---|---|
| Provider Name | Edmond M. Chan |
| First Address | Boston, MA 02114 |
| Second Address | Boston, MA 02215-5418 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2013 |
| Last Update Date | 26/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.