ALFREDO R CHAN MD PC (NPI# 1548454671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548454671 |
| Entity Type | Organization |
| Organization Name | ALFREDO R CHAN MD PC |
| Practice Address |
105 Webster St Ste 6 Hanover MA 02339-1227 |
| Practice Telephone | 7818788200 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | DR. ALFREDO ROJO CHAN (PRESIDENT) |
| Authorized Official Telephone | 7818788200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
105 WEBSTER ST STE 6 |
| City | HANOVER |
| State | MA |
| Zip Code | 02339-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| Find all providers in zip 02339 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
| 1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
| 1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1306896527 | Ethan Samuel Rofman | Psychiatry & Neurology | 123 Grant Ave, Newton Centre, MA 02459-1350 | 2006-05-10 |
| 1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
| 1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
| 1821565425 | Westborough Professional Associates, LLC | Psychiatry & Neurology | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2018-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.