Healthcare Provider Details

I. General information

NPI: 1083688972
Provider Name (Legal Business Name): ROBERT JOSEPH CHASTANET MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHESAPEAKE WEIGHT LOSS 221 MT. PLEASANT ROAD
CHESAPEAKE VA
23322
US

IV. Provider business mailing address

7 MAIN ST APT A
PLYMOUTH NH
03264-1592
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-9444
  • Fax: 757-447-3500
Mailing address:
  • Phone: 757-353-7889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD22342
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2010-00021
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101222153
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number19396
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: