Healthcare Provider Details

I. General information

NPI: 1316945850
Provider Name (Legal Business Name): YOUSSEF B. CHEHADE, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 HIGHLAND ST
CLINTON MA
01510-1037
US

IV. Provider business mailing address

340 MAIN ST STE. 670
WORCESTER MA
01608-1604
US

V. Phone/Fax

Practice location:
  • Phone: 978-368-0861
  • Fax: 978-368-3939
Mailing address:
  • Phone: 508-754-3566
  • Fax: 508-438-6364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateMA

VIII. Authorized Official

Name: YOUSSEF B CHEHADE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 978-368-0861