Individual ProviderDavid ChinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, New Haven, CT 06510-3202(203) 688-4748PECOS EnrollmentBased on the most recent information from CMS, provider David Chin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1477935906Provider TypeIndividualFull NameChin, DavidCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/20/2015Last Updated12/2/2022Contact InformationPractice LocationPractice Address20 York St, New Haven, CT 06510-3202Phone(203) 688-4748FaxUnlisted FaxMailing LocationMailing Address20 York St, New Haven, CT 06510-3202Phone(203) 688-4748FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense72873ConnecticutCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD2018-0269New MexicoCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseMT209065Pennsylvania