Provider Demographics
NPI:1588643282
Name:KAO, ANN YORK (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:YORK
Last Name:KAO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS. GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-643-0722
Mailing Address - Fax:617-724-9068
Practice Address - Street 1:151 EVERETT AVE C51
Practice Address - Street 2:CHELSEA HEALTHCARE CENTER-URGENT CARE
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150
Practice Address - Country:US
Practice Address - Phone:617-884-8302
Practice Address - Fax:617-887-3704
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2012-08-03
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Provider Licenses
StateLicense IDTaxonomies
MA220229207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2070791Medicaid
MA369355OtherTUFTS HEALTH PLAN
MAJ27655OtherBCBS OF MA
I09495Medicare UPIN
MAA37051Medicare ID - Type Unspecified