Individual
EMILY CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 EDGEWATER DR STE 420, WAKEFIELD, MA 01880-6243
(781) 901-0929
Mailing address
701 EDGEWATER DR STE 119, WAKEFIELD, MA 01880-6242
(781) 901-0929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127253
—
MA
01
—
495613
TUFTS
MA
01
—
J40998
BLUE CROSS LEGACY PROV#
MA
Enumeration date
10/17/2006
Last updated
05/02/2023
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