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BARBARA CHILMONCZYK M.D.

Other Service Providers Specialist

Provider NPI: 1497793210

Provider Information:
 BARBARA  CHILMONCZYK M.D.
Gender: F
Not Sole Proprietor

Practice Location:
195 FORE RIVER PKWY SUITE 410 PORTLAND, ME 04102 US
Tel: 207-774-9839  Fax: 207-761-2127

Business Mailing Address:
195 FORE RIVER PKWY SUITE 410 PORTLAND, ME 04102 US
Tel: 207-774-9839  Fax: 207-761-2127

NPI Information:
NPI: 1497793210
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
ME011760
N207K00000XPhysicians
Allergy & Immunology
ME011760
N2080P0201XPhysicians
Pediatrics
ME011760

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 174400000X

Type:

Classification:



Definition:



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