Elizabeth Chan, MD
Internal Medicine in Medford, Massachusetts
1225602105- Practice location
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone
- 781-306-5100
- Fax
- —
- Last updated
- June 6, 2024
Elizabeth Chan is an Internal Medicine based in Medford, MA. Elizabeth Chan practices in Medford, MA and has the professional credentials of MD. The NPI Number for Elizabeth Chan is 1225602105 and holds a License No. 1018828 (MA). The current practice location address for Elizabeth Chan is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5100.
Provider Profile Details
- NPI Number
- 1225602105
- Provider Name
- Elizabeth Chan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone Number
- 781-306-5100
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2021
- Last Update Date
- June 6, 2024
- Certification Date
- June 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4754
- Phone Number
- 781-306-5100
Provider Business Mailing Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4765 - City
- Medford
- State
- MA
- Zip
- 02155-4765
- Phone Number
- 781-306-5130
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 1018828
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Elizabeth Chan, MD?
The NPI number of Elizabeth Chan, MD is 1225602105. It was assigned on May 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Elizabeth Chan, MD?
Elizabeth Chan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 1018828.
Where does Elizabeth Chan, MD practice?
The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225602105 directly on the NPPES registry website.