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1962065979
COREY CHAN
RIDGEWOOD, NJ
NPI
1962065979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026226)
Enumeration Date
2019-04-16
Last Update Date
2022-09-29
Business Address
COREY CHAN PA-C
550 LYNN ST
RIDGEWOOD, NJ 07450
Phone number: 201-602-2945
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Mailing Address
COREY CHAN PA-C
550 LYNN ST
RIDGEWOOD, NJ 07450
Phone number: 201-602-2945
Copy
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