Individual
MARY T. CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
(617) 421-1359
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1336
(617) 421-1359
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
210725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037252
NEIGHBORHOOD HEALTH
MA
05
—
2044897
—
MA
01
—
2743351
CIGNA
MD
01
—
468852
TUFTS
MD
01
—
AA52123
HARVARD PILGRIM
MA
01
—
J27343
BLUE CROSS
MA
Enumeration date
03/22/2006
Last updated
02/19/2021
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