Dr. Edward Fung Chan, MD
Dermatology, Dermatopathology in Media, PA. Individual provider (NPI-1).
NPI number1417940941
StatusActive
Last updated in NPPESApr 25, 2011
Details
- NPI
- 1417940941
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Fung Chan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2005
- Last updated
- Apr 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | MD069710L | PA | Yes |
Practice location
101 Chesley DrSuite 100
Media, PA 19063-1761
Phone 610-566-7111 · Fax 610-891-6735
Mailing address
101 Chesley DrSuite 100
Media, PA 19063-1761
Phone 610-566-7111 · Fax 610-891-6735
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