JERRY CHI CHUAN FANG

BROCKTON, MA
NPI1437413242
Former NameCHI CHUAN FANG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MA  283804)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: PA  MT202572)
Enumeration Date2012-06-26
Last Update Date2021-06-17
Business Address
JERRY CHI CHUAN FANG MD
110 LIBERTY ST
BROCKTON, MA 02301-5674
Phone number: 508-894-0400
Mailing Address
JERRY CHI CHUAN FANG MD
110 LIBERTY ST
BROCKTON, MA 02301-5674
Phone number: 508-894-0400