Provider Demographics
NPI:1619664489
Name:ALISON CHASE, DO
Entity Type:Organization
Organization Name:ALISON CHASE, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:THERSE
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:408-356-0578
Mailing Address - Street 1:2516 SAMARITAN DR STE J
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4108
Mailing Address - Country:US
Mailing Address - Phone:408-356-0578
Mailing Address - Fax:408-356-3986
Practice Address - Street 1:2516 SAMARITAN DR STE J
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4108
Practice Address - Country:US
Practice Address - Phone:408-356-0578
Practice Address - Fax:408-356-3986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty