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NPI Code Detail

MEDICARE: DR. MICHAEL CHIN M.D.

MEDICARE: DR. MICHAEL CHIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician217244MA

General Provider Information

NPI Number : 1720074164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL CHIN M.D.
Provider Business Mailing Address
First Line : 12 FAIRHOPE RD
Second Line :
City : WESTON
State : MA
Zip : 02493-2165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 287 WESTERN AVE
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1010
Country : US
Telephone Number : 617-783-0500
Fax Number : 617-787-4359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL CHIN M.D.” Practice Location

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