Basic Information
| Provider Information | |||||||||
| NPI: | 1043606486 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUO | ||||||||
| FirstName: | CHAO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 415348 DEPT OF MEDICINE | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022415348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002258885 | ||||||||
| FaxNumber: | 5083341977 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 SHELBURNE RD | ||||||||
| Address2: | DEPT OF MEDICINE | ||||||||
| City: | STAMFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032767147 | ||||||||
| FaxNumber: | 2032767368 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2015 | ||||||||
| LastUpdateDate: | 11/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25MA10656300 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | ME135339 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 036158670 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 286545 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.