Provider Demographics
NPI:1073990214
Name:CHIOU, BOJEN ROGER (MD)
Entity Type:Individual
Prefix:
First Name:BOJEN
Middle Name:ROGER
Last Name:CHIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HARRISON AVE UNIT 406
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2827
Mailing Address - Country:US
Mailing Address - Phone:603-474-6400
Mailing Address - Fax:
Practice Address - Street 1:1133 MANHATTAN AVE
Practice Address - Street 2:APT N532
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1031
Practice Address - Country:US
Practice Address - Phone:973-452-5982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH18851207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine