Provider Demographics
NPI:1043606486
Name:GUO, CHAO (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAO
Middle Name:
Last Name:GUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415348 DEPT OF MEDICINE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:30 SHELBURNE RD
Practice Address - Street 2:DEPT OF MEDICINE
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902
Practice Address - Country:US
Practice Address - Phone:203-276-7147
Practice Address - Fax:203-276-7368
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA10656300207R00000X
FLME135339207R00000X
IL036158670208M00000X
MA286545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist