Daniel W Chan, PH.D.

Individual provider Active NPI Clinical Laboratory Director (Non-physician) · Clarksville, MD

NPI 1821296468 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821296468
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Laboratory Director (Non-physician) 247ZC0005X
Practice address
12925 Wexford Park
Clarksville, MD 21029-1401
Phone
(410) 955-2674
Fax
(443) 287-6388
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X Yes

Addresses

Primary practice location

12925 Wexford Park
Clarksville, MD 21029-1401

Mailing address

12925 Wexford Park
Clarksville, MD 21029-1401
Phone (410) 955-2674

Other providers in Clarksville, MD

All providers in Clarksville, MD · Clinical Laboratory Director (Non-physician) in Maryland

Sources for this page

Verify at the official NPI Registry.