| Chapo | |
|
1493 Cambridge St Cambridge MA 02139-1047 | |
| (617) 665-1000 | |
| Not Available |
| Full Name | Chapo |
|---|---|
| Speciality | Family Medicine |
| Location | 1493 Cambridge St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Dave J Porell (CHAPO CAO) |
| Authorized Official Contact | 6174996621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapo 1493 Cambridge St Cambridge MA 02139-1047 Ph: (617) 665-1000 | Chapo 1493 Cambridge St Cambridge MA 02139-1047 Ph: (617) 665-1000 |
| NPI Number | 1982937090 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982937090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Massachusetts) | Primary |
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