Provider Demographics
NPI:1144481532
Name:CHAO, SIMON (MD)
Entity type:Individual
Prefix:DR
First Name:SIMON
Middle Name:
Last Name:CHAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:ORTHOPEDIC CARE SPECIALISTS, INC
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-0030
Mailing Address - Country:US
Mailing Address - Phone:781-344-3535
Mailing Address - Fax:308-535-0192
Practice Address - Street 1:15 ROCHE BROS WAY
Practice Address - Street 2:ORTHOPEDIC CARE SPECIALISTS, INC
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02072-0030
Practice Address - Country:US
Practice Address - Phone:781-344-3535
Practice Address - Fax:308-535-0192
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2010-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD430481207X00000X
MA238724207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery