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Contact Information

CHONG KIT WILLIAM CHAN, DPM
1221 MAIN ST
STE 204
WEYMOUTH, MA02190-1563
 Phone: 781-331-7075
 Fax: 781-740-8159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHONG KIT WILLIAM CHAN · (Male)

NPI Number 1821195736
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/20/2006
Last updated 09/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1821
  • MA Medicaid 0362719
  • MA Other Y70845 BLUE CROSS BLUE SHIELD
  • MA Other 64831 FALLON
  • MA Other 33136 HARVARD PILGRIM
  • MA Other 709117 TUFTS
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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