Provider Demographics
NPI:1598191777
Name:CHAU, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:CHAU
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 1:75 SAINT ALPHONSUS ST
Mailing Address - Street 2:APT 706
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120-1676
Mailing Address - Country:US
Mailing Address - Phone:617-971-6610
Mailing Address - Fax:
Practice Address - Street 1:75 SAINT ALPHONSUS ST
Practice Address - Street 2:APT 706
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-1676
Practice Address - Country:US
Practice Address - Phone:617-971-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254922207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology