Provider Demographics
NPI:1689664351
Name:CHIN, DANNY (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:
Last Name:CHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
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:617-724-6200
Mailing Address - Fax:617-724-0656
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:INTERNAL MEDICINE ASSOCIATES TEAM 2 WAC 615
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-7933
Practice Address - Fax:617-724-0656
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA44995207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA735279OtherTUFTS HEALTH PLAN
MAE05127OtherBCBS MA
MA2082799Medicaid
MAE05127OtherBCBS MA
MA2082799Medicaid