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Contact Information

WAI BEN CHAN, DO
110 MARTER AVE
MOORESTOWN, NJ08057-3124
 Phone: 856-608-8840
 Fax: 856-722-1898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WAI BEN CHAN · (Male)

NPI Number 1710291307
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/06/2010
Last updated 04/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB09368400
  • NY License # 266942-1
Hospital affiliation(s)
  • COOPER UNIVERSITY HOSPITAL - (Acute Care)
    1 COOPER PLAZA
    CAMDEN, NJ 08103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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