Provider Demographics
NPI:1073502985
Name:CHEN, CHU J (MD)
Entity Type:Individual
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First Name:CHU
Middle Name:J
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:221 BOSTON RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2321
Mailing Address - Country:US
Mailing Address - Phone:978-667-9611
Mailing Address - Fax:978-667-2282
Practice Address - Street 1:221 BOSTON RD
Practice Address - Street 2:SUITE 8
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2321
Practice Address - Country:US
Practice Address - Phone:978-667-9611
Practice Address - Fax:978-667-2282
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-05-25
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Provider Licenses
StateLicense IDTaxonomies
MA57307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
991492OtherNETWORK HEALTH PLAN
MA20580OtherHARVARD PILGRIM
MAB10050701OtherCIGNA HEALTHCARE
MA12-00890OtherUNITED HEALTHCARE
MDP003OtherSIGNA
MA3017711OtherMASS HEALTH
30200269OtherEDS FEDERAL CORPORATION
MAJ06555OtherBCBS
0019017OtherNEIGHBORHOOD HEALTH PLAN
MA042484572003OtherDISABILITY
MA75519OtherAETNA US HEALTH
MA057307OtherTUFTS HEALTH PLAN
MA3017711Medicaid
MA20580OtherHARVARD PILGRIM
MA3017711Medicaid