Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 265322 | MA |
NPI | 1093152563 |
---|---|
Provider Name | Dr. Sarah Chen |
First Address | Boston, MA 02115-6128 |
Second Address | Boston, MA 02115-6128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2013 |
Last Update Date | 26/08/2019 |