Corey Chan, PA-C
NPI #1962065979 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1962065979
- Entity Type
- Individual
- Name
- Corey Chan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 16, 2019
- Last Updated
- Sep 29, 2022
Practice Location
- Address
- 550 LYNN ST
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450
- Phone
- (201) 602-2945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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