Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK CHAN, MD
Active Sole ProprietorDR. JACK CHAN, MD is a Pain Medicine (Anesthesiology) healthcare provider located in NEWINGTON, New Hampshire. NPI 1376170522 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · NEWINGTON, NH
Registration Details
- NPI Number
- 1376170522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2020 (6.4209383065505 yrs)
- Last Updated
- Oct 15, 2025
- License
-
34672 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 SHATTUCK WAY STE 6NEWINGTON, NH, 038017876Browse NH providers · Browse ZIP 03801
- Phone
- 6173724018
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.