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Contact Information

AUDREY S CHAN
88 ANSEL HALLET RD
WEST YARMOUTH, MA02673-2556
 Phone: 508-771-4848
 Fax: 508-775-4103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for AUDREY S CHAN · (Female)

NPI # 1942281134
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2005
Last updated 12/22/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 223781
Hospital affiliation(s) Not Available
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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