Chan, Eugenia

Chan, Eugenia is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chan, Eugenia can be contacted via phone (617) 421-1000.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1000
Fax: (617) 421-6084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 156686 Massachusetts
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 156686 Massachusetts

Profile Details

NPI number 1215997192
LBN Legal business name Chan, Eugenia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215997192 NPPES
Massachusetts MEDICAID 3199681
Massachusetts Other J21142
Massachusetts Other AA17606
Massachusetts Other 0015203
Massachusetts Other 156686

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