Provider Demographics
NPI:1871578823
Name:CHAN, JENNIFER ANG (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANG
Last Name:CHAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA 1220
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-632-6315
Mailing Address - Fax:617-632-5370
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA 1220
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-6315
Practice Address - Fax:617-632-5370
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2015-03-10
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Provider Licenses
StateLicense IDTaxonomies
MA217026207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine