Provider Demographics
NPI:1437145034
Name:CHAO, CINDY W (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:W
Last Name:CHAO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CROWN COLONY DR STE 301
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0979
Mailing Address - Country:US
Mailing Address - Phone:617-770-4400
Mailing Address - Fax:617-471-5093
Practice Address - Street 1:1900 CROWN COLONY DR STE 301
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0979
Practice Address - Country:US
Practice Address - Phone:617-770-4400
Practice Address - Fax:617-471-5093
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2021-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA216746207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110033284AMedicaid
MA216746OtherTUFTS HEALTH PLAN
MA153429OtherHARVARD PILGRIM
MA3189903OtherAETNA
MA7629650-004OtherCIGNA
MA153429OtherHARVARD PILGRIM
MA110033284AMedicaid