Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 44366 | MA |
NPI | 1073665873 |
---|---|
Provider Name | Dr. Pauline Yuen Chao |
First Address | Norwood, MA 02062-3341 |
Second Address | Norwood, MA 02062-3341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 22/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B72846 | (02) | MA |