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1003992231
JORGE CHUA CHAN
BRONX, NY
NPI
1003992231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 115584-1)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- JORGE CHUA CHAN MD
3200 GRAND CONCOURSE
BRONX, NY 10458
Phone number: 718-365-7877
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Mailing Address
-- JORGE CHUA CHAN MD
3200 GRAND CONCOURSE
BRONX, NY 10458
Phone number: 718-365-7877
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