Provider Demographics
NPI:1619408598
Name:CHASE, BRENNA HUGHES (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENNA
Middle Name:HUGHES
Last Name:CHASE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRENNA
Other - Middle Name:SIAN
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 BOSTON MEDICAL CTR PL
Mailing Address - Street 2:BOSTON MEDICAL CENTER DEPT OF PEDIATRICS, MENINO BLDG
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-5946
Mailing Address - Fax:
Practice Address - Street 1:1 BOSTON MEDICAL CTR PL
Practice Address - Street 2:BOSTON MEDICAL CENTER DEPT OF PEDIATRICS, MENINO BLDG
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2908
Practice Address - Country:US
Practice Address - Phone:617-414-5946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program