Individual provider · NPI-1

Amy M Chan, M.D.

Psychiatry & Neurology, Neurology · Lebanon, NH

NPI number1043509847
StatusActive
Last updated in NPPESMay 25, 2020

Details

NPI
1043509847
Entity type
Individual (NPI-1)
Name
Amy M Chan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2011
Certification date
May 25, 2020
Last updated
May 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology20331NHYes

Practice location

One Medical Center Dr
Lebanon, NH 03756-0001

Phone 603-650-2967

Mailing address

One Medical Center Dr
Lebanon, NH 03756-0001

Phone 603-650-2967

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