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
1	207R00000X	Internal Medicine Physician	76723	AZ
2	207R00000X	Internal Medicine Physician	25MA05562400	NJ

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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