Provider Demographics
NPI:1285661652
Name:CHOU, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:CHOU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:133 BROOKLINE AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-1091
Mailing Address - Fax:617-421-2555
Practice Address - Street 1:133 BROOKLINE AVE FL 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1091
Practice Address - Fax:617-421-2555
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2021-02-04
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Provider Licenses
StateLicense IDTaxonomies
MA217013207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0030310OtherNEIGHBORHOOD HEALTH
MAJ26676OtherBLUE CROSS
MA2023202Medicaid
MA217013OtherTUFTS HEALTH PLAN
MA305130OtherHARVARD PILGRIM
MA2790378-001OtherCIGNA
MA217013OtherTUFTS HEALTH PLAN
MD0030310OtherNEIGHBORHOOD HEALTH