Jie Chan
Family Medicine in Dorchester, Massachusetts
1699271353- Practice location
- 230 Bowdoin St, Dorchester, MA 02122-1817
- Phone
- 177-540-1006
- Fax
- —
- Last updated
- March 2, 2022
Jie Chan is a Family Medicine based in Dorchester, MA. Jie Chan practices in Dorchester, MA. The NPI Number for Jie Chan is 1699271353 and holds a License No. 287703 (MA). The current practice location address for Jie Chan is 230 Bowdoin St, Dorchester, MA 02122-1817 and can be reached out via phone at 177-540-1006.
Provider Profile Details
- NPI Number
- 1699271353
- Provider Name
- Jie Chan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 230 Bowdoin St, Dorchester, MA 02122-1817
- Phone Number
- 177-540-1006
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2018
- Last Update Date
- March 2, 2022
- Certification Date
- March 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Bowdoin St
Dorchester, MA 02122-1817 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02122-1817
- Phone Number
- 177-540-1006
Provider Business Mailing Address Details
- Address
- 230 Bowdoin St
Dorchester, MA 02122-1817 - City
- Dorchester
- State
- MA
- Zip
- 02122-1817
- Phone Number
- 617-754-0100
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 287703
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Dorchester, MA
View all Family Medicine providers in Dorchester →Frequently Asked Questions
What is the NPI number of Jie Chan?
The NPI number of Jie Chan is 1699271353. It was assigned on April 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Jie Chan?
Jie Chan is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 287703.
Where does Jie Chan practice?
The practice location is 230 Bowdoin St, Dorchester, MA 02122-1817. The office can be reached at 177-540-1006 (phone).
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 1699271353 directly on the NPPES registry website.