Fan, Chieh-Min

Fan, Chieh-Min is an individual health care provider with primary practice located at 111 Cypress St , Brookline MA 02445-6002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Fan, Chieh-Min can be contacted via phone (857) 307-0896.

Contact Information

Primary practice address
111 Cypress St Brookline MA 02445-6002
Phone: (857) 307-0896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 150623 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 150623 Massachusetts

Profile Details

NPI number 1376516708
LBN Legal business name Fan, Chieh-Min
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376516708 NPPES
Massachusetts Other 150623 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3154114 TUFTS HEALTH PLAN
Massachusetts Other J16716 TUFTS HEALTH PLAN

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