Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 76614 | MA |
Y | 208600000X | Surgeon | 76614 | MA |
N | 2086S0120X | Pediatric Surgery | 76614 | MA |
NPI | 1265451751 |
---|---|
Provider Name | Dr. Catherine C Chen |
First Address | Boston, MA 02115 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 14/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3200728 | (05) | MA |
H70356 | (02) |