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Junchu Han

Specialist in Waltham, MA. Individual provider (NPI-1).

NPI number1942063243
StatusActive
Last updated in NPPESJan 31, 2024

Details

NPI
1942063243
Entity type
Individual (NPI-1)
Name
Junchu Han
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2024
Certification date
Jan 29, 2024
Last updated
Jan 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

675 Main St
Waltham, MA 02451-0602

Phone 812-606-9019

Mailing address

675 Main St
Waltham, MA 02451-0602

Phone 812-606-9019

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