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General NPI Number Information
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NPI Number | 1164561650
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Entity Type | Individual
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Provider Name | CHANTEL NOELLE HILE MD
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 300 MOUNT AUBURN ST SUITE 407
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5600
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Country | US
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Telephone | 617-868-7456
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Fax | 617-868-9243
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Provider Business Mailing Address
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Address Line | 14 CORNELL ST
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City | ARLINGTON
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State | MA
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Zip | 02474-3404
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Country | US
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Telephone | 612-840-0102
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Fax | 617-868-9243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 216045
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License Number State | MA
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