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General NPI Number Information
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NPI Number | 1609089077
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Entity Type | Individual
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Provider Name | PETER CHIEN JR. MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 330 BROOKLINE AVE BETH ISRAEL DEACONESS MEDICAL CENTER
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City | BOSTON
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State | MA
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Zip | 02215
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Country | US
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Telephone | 617-667-3753
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Fax |
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Provider Business Mailing Address
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Address Line | 330 BROOKLINE AVE BETH ISRAEL DEACONESS MEDICAL CENTER
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City | BOSTON
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State | MA
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Zip | 02215-5400
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Country | US
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Telephone | 617-667-3753
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 247913
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 240816
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License Number State | MA
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