Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 216466 | MA |
NPI | 1154398964 |
---|---|
Provider Name | Susan N Chi |
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 | 01/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2003660 | (05) | MA |
206175 | HPHC DFCI ONLY (01) | |
216466 | TUFTS (01) | |
80291 | FALLON COMMUNITY HEALTH P (01) | |
9673117 | CIGNA (01) | |
G48843 | (02) | |
J25786 | BLUE CROSS BLUE SHIELD (01) | MA |