Individual
ALVIN C CHUA
Active
Individual
ALVIN C CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49566
MA
208VP0000X
Pain Medicine Physician
49566
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3022030
—
MA
01
—
330209666
TAX IDENTIFICATION NUMBER
MA
01
—
J06383
BLUE CROSS BLUE SHIELD OF MA
MA
Enumeration date
10/27/2005
Last updated
07/21/2008
Update your record
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