| Doctor Name: | MISS MADELINE TAM CHOW |
| NPI Number: | 1023031655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 10811 |
| Business Practice Address: | 1510 4th St Suite 1 Berkeley, CA - 947101717 |
| Business Phone Number: | 5105258980 |
| Business Fax Number: | 5105258982 |
| Mailing Address: | 1510 4th St, Suite 1 BERKELEY |
| State: | CA |
| Postal Code: | 947101717 |
| Phone Number: | 5105258980 |
| Fax Number: | 5105258982 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 10811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |