| Chae Internal Medicine Llc | |
|
70 Fulton St Boston MA 02109-1402 | |
| (617) 876-4344 | |
| Not Available |
| Full Name | Chae Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Fulton St, Boston, Massachusetts |
| Authorized Official Name and Position | Jin Byung Chae (OWNER) |
| Authorized Official Contact | 7818799917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chae Internal Medicine Llc 19 Hancock St Lexington MA 02420-3443 Ph: (781) 879-9917 | Chae Internal Medicine Llc 70 Fulton St Boston MA 02109-1402 Ph: (617) 876-4344 |
| NPI Number | 1679185722 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 1153731369 |
|---|---|
| Medicare Enrollment ID | O20201029000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679185722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jin Byung Chae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477713121 PECOS PAC ID: 4688735483 Enrollment ID: I20081212000022 |
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