Individual
DR. CHUANYUN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 WAVERLEY OAKS RD, SUITE 100, WALTHAM, MA 02452-8474
(781) 314-7600
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(781) 314-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0016774
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
233406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3296030670
MYUTMB 3296030670-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
06/02/2014
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