Healthcare Provider Details

I. General information

NPI: 1194924035
Provider Name (Legal Business Name): BELLE KUO D.M.D, PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COURTHOUSE LN SUITE 3
CHELMSFORD MA
01824-1715
US

IV. Provider business mailing address

199 WILLIS DR
NORTH CHELMSFORD MA
01863-1633
US

V. Phone/Fax

Practice location:
  • Phone: 978-275-9444
  • Fax:
Mailing address:
  • Phone: 978-251-9507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: