Chan, Kwok W.

Chan, Kwok W. is an individual health care provider with primary practice located at 119 Belmont St Department Of Anesthesiology, Worcester MA 01605-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Chan, Kwok W. can be contacted via phone (508) 334-8297.

Contact Information

Primary practice address
119 Belmont St Department Of Anesthesiology Worcester MA 01605-2903
Phone: (508) 334-8297
Fax: (508) 334-8204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 43820 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43820 Massachusetts

Profile Details

NPI number 1346211364
LBN Legal business name Chan, Kwok W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Nov 19th, 2020 - about 4 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 1346211364 NPPES
Massachusetts MEDICAID 110002794A

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