Individual
JESSIE LYNN CHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-9801
(617) 732-8064
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-9801
(617) 732-8064
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079304
TUFTS HEALTH CARE
MA
05
—
3142604
—
MA
01
—
J16226
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/29/2005
Last updated
08/08/2012
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