Samantha Chan
Physician Assistant in Waltham, MA. Individual provider (NPI-1).
NPI number1801488762
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1801488762
- Entity type
- Individual (NPI-1)
- Name
- Samantha Chan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2021
- Certification date
- Apr 12, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA8574 | MA | Yes |
Practice location
840 Winter StreetBoston Ortho And Spine
Waltham, MA 02451
Phone 617-738-8642
Mailing address
840 Winter StBoston Orthopaedics And Spine
Waltham, MA 02451-1433
Other practice locations
300 Mount Auburn St Ste 505
Cambridge, MA 02138-5665
Cambridge, MA 02138-5665
Phone 617-738-8642
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All 23 Physician Assistant providers in Waltham · All 2,572 providers in Waltham
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