Chu, Benson

Chu, Benson is an individual health care provider with primary practice located at 300 Ocean Ave , Revere MA 02151-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chu, Benson can be contacted via phone (781) 485-6406.

Contact Information

Primary practice address
300 Ocean Ave Revere MA 02151-3675
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 216350 Massachusetts

Profile Details

NPI number 1356305155
LBN Legal business name Chu, Benson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356305155 NPPES
Massachusetts MEDICAID 2004976

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