Basic Information
Provider Information
NPI: 1447663380
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOW
FirstName: OHN
MiddleName: AARON
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 55 FRUIT ST.
Address2: COX 201
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 6177263851
FaxNumber:  
Practice Location
Address1: 55 FRUIT ST.
Address2: COX 201
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 5857217881
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2014
LastUpdateDate: 03/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X260538MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RA0201X260538MAN Allopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
207K00000X609657MAY Allopathic & Osteopathic PhysiciansAllergy & Immunology 

No ID Information.


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