Basic Information
Provider Information
NPI: 1255567046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAU
FirstName: ZELING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 CHESTNUT ST
Address2: 2ND FLOOR
City: SPRINGFIELD
State: MA
PostalCode: 011991001
CountryCode: US
TelephoneNumber: 4137943909
FaxNumber: 4137941629
Practice Location
Address1: 50 WRIGHT STREET
Address2:  
City: PALMER
State: MA
PostalCode: 010691138
CountryCode: US
TelephoneNumber: 4132838761
FaxNumber: 4132845117
Other Information
ProviderEnumerationDate: 06/08/2009
LastUpdateDate: 10/21/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X240911MAN Allopathic & Osteopathic PhysiciansSurgery 
208600000X249563MAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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