Healthcare Provider Details

I. General information

NPI: 1316048739
Provider Name (Legal Business Name): MARCIA C CHATFIELD D. O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARCIA CORDEIRO TARGINO

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 208
ARLINGTON MA
02476-4738
US

IV. Provider business mailing address

330 MOUNT AUBURN ST # 2
CAMBRIDGE MA
02138-5502
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-2848
  • Fax: 781-643-4308
Mailing address:
  • Phone: 617-499-5741
  • Fax: 617-499-5620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number232141
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: