Chan, Alfredo R
Chan, Alfredo R is an individual health care provider with primary practice located at 105 Webster Street Webster Place Unit 6, Hanover MA 02339-1227. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chan, Alfredo R can be contacted via phone (781) 878-8200.Contact Information
Primary practice address
105 Webster Street Webster Place Unit 6
Hanover MA 02339-1227
Phone: (781) 878-8200
Fax: (781) 878-5538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 70653 | Massachusetts |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 70653 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 70653 | Massachusetts |
Profile Details
| NPI number | 1891746814 |
|---|---|
| LBN Legal business name | Chan, Alfredo R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891746814 | NPPES |
| Massachusetts | MEDICAID | 3059472 |
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