Individual
DR. HEECHIN CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NASHUA ST, SPAULDING REHAB HOSPITAL SRH, BOSTON, MA 02114-1198
(617) 573-2200
(617) 573-2769
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
155274
MA
208VP0000X
Pain Medicine Physician
155274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155274
TUFTS HEALTH PLAN
MA
05
—
3178099
—
MA
01
—
J18702
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
06/27/2013
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