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1265658116
PHILIP A CHAN
PROVIDENCE, RI
NPI
1265658116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: RI MD12984)
Enumeration Date
2007-04-18
Last Update Date
2019-09-20
Business Address
PHILIP A CHAN MD
1125 N MAIN ST
PROVIDENCE, RI 02904-5739
Phone number: 401-793-2928
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Mailing Address
PHILIP A CHAN MD
84 PARKER ST
LINCOLN, RI 02865-3029
Phone number: 401-644-2876
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