Provider Demographics
NPI:1841268042
Name:CHIN, MICHAEL THOMAS (MD PHD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOMAS
Last Name:CHIN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65 LANDSDOWNE ST
Mailing Address - Street 2:RM 277 BRIGHAM AND WOMANS HOSPITAL VASCULAR MED UNIT
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139
Mailing Address - Country:US
Mailing Address - Phone:617-768-8418
Mailing Address - Fax:
Practice Address - Street 1:65 LANDSDOWNE ST
Practice Address - Street 2:RM 277 BRIGHAM AND WOMANS HOSPITAL VASCULAR MED UNIT
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-768-8418
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA79493207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease