Active NPIIndividual provider

Bernadette Chan, MD

Obstetrics & Gynecology, Gynecology in Medford, Massachusetts

NPI Number1235129750
Practice location
170 Governors Ave, Prompt Care - Lawrence Memorial Hospital, Medford, MA 02155-1643
Fax
781-306-6206
Last updated
April 27, 2012

Bernadette Chan is an Obstetrics & Gynecology, Gynecology based in Medford, MA. Bernadette Chan practices in Medford, MA and has the professional credentials of MD. The NPI Number for Bernadette Chan is 1235129750 and holds a License No. 60545 (MA). The current practice location address for Bernadette Chan is 170 Governors Ave, Prompt Care - Lawrence Memorial Hospital, Medford, MA 02155-1643 and can be reached out via phone at 781-306-6103 and via fax at 781-306-6206.

Provider Profile Details

NPI Number
1235129750
Provider Name
Bernadette Chan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave, Prompt Care - Lawrence Memorial Hospital, Medford, MA 02155-1643
Phone Number
781-306-6103
Fax Number
781-306-6206
Primary Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2005
Last Update Date
April 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave
Prompt Care - Lawrence Memorial Hospital
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
781-306-6103
Fax Number
781-306-6206
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
170 Governors Ave
Prompt Care - Lawrence Memorial Hospital
Medford, MA 02155-1643
City
Medford
State
MA
Zip
02155-1643
Phone Number
781-306-6103
Fax Number
781-306-6206

License Information

License Number
60545
License State
MA
Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bernadette Chan, MD?

The NPI number of Bernadette Chan, MD is 1235129750. It was assigned on October 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Bernadette Chan, MD?

Bernadette Chan, MD is registered under the primary taxonomy Obstetrics & Gynecology, Gynecology (code 207VG0400X), licensed in MA under license number 60545.

Where does Bernadette Chan, MD practice?

The practice location is 170 Governors Ave, Prompt Care - Lawrence Memorial Hospital, Medford, MA 02155-1643. The office can be reached at 781-306-6103 (phone) or 781-306-6206 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235129750 directly on the NPPES registry website.

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