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NPI Code Detail

MEDICARE: DR. ERIC BOON TSOU CHAN M.D.

MEDICARE:  DR. ERIC BOON TSOU CHAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician76723AZ
2207R00000XInternal Medicine Physician25MA05562400NJ

General Provider Information

NPI Number : 1437202017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC BOON TSOU CHAN M.D.
Provider Business Mailing Address
First Line : 51 JOHN F KENNEDY PKWY
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2704
Country : US
Telephone Number : 908-464-4343
Fax Number :
Provider Business Practice Location Address
First Line : 51 JOHN F KENNEDY PKWY
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2704
Country : US
Telephone Number : 908-464-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 09/04/2025

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