IndividualActive
Jack Chan, MD
NPI 1376170522 · Pain Medicine (Anesthesiology) Physician · Newington, NH
Provider details
- NPI number
- 1376170522
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34672 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone: (617) 372-4018
Approximate (ZIP-level) locationGet directions
Mailing address
101 Shattuck Way Ste 6
Newington, NH 03801-7876
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.