person
Dr. Jack Chan, MD
Student in an Organized Health Care Education/Training Program in Burlington, Vermont
NPI 1376170522

Jack Chan is a Student in an Organized Health Care Education/Training Program based in Malden, VT. Jack Chan practices in Burlington, VT and has the professional credentials of MD. The NPI Number for Jack Chan is 1376170522 and holds a License No. (Vermont).

The current practice location address for Jack Chan is 111 Colchester Ave, Burlington, VT and can be reached out via phone at 802-847-2345.

Location: 111 Colchester Ave, Burlington, VT, 02148-4035
person
Provider Profile Details
NPI Number
1376170522
Provider Name
Jack Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave, Burlington, VT, 02148-4035
Phone Number
802-847-2345
Fax Number
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Colchester Ave
City
State
Zip
05401-1473
Phone Number
802-847-2345
Fax Number
person
Provider Business Mailing Address Details
Address
111 Colchester Ave
City
State
Zip
05401-1473
Phone Number
802-847-2345
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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