Doctor Name: | DR. BRITTON MILLER CHAN |
NPI Number: | 1144455072 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA09733000 |
Business Practice Address: | 210 Ark Road Mount Laurel, NJ - 08054 |
Business Phone Number: | 6099147017 |
Business Fax Number: | |
Mailing Address: | 1295 Route 38 West, Po Box 479 HAINESPORT |
State: | NJ |
Postal Code: | 080360479 |
Phone Number: | 6099147017 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2009 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 25MA09733000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |