Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OT018804 | PA |
Y | 111NI0900X | Internist | OT018804 | PA |
NPI | 1003301805 |
---|---|
Provider Name | Wai Pok Vernon Chan |
First Address | York, PA 17403-3676 |
Second Address | York, PA 17403-3676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2018 |
Last Update Date | 21/06/2019 |