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NPI Code Detail

MEDICARE: ANNIKA NICOLE CHAMBERS MD

MEDICARE: ANNIKA NICOLE CHAMBERS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician63927CT

General Provider Information

NPI Number : 1255793956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIKA NICOLE CHAMBERS MD
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 203-382-2345
Fax Number : 203-366-0868
Provider Business Practice Location Address
First Line : 2979 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-4284
Country : US
Telephone Number : 203-382-2345
Fax Number : 203-366-0868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 06/20/2024

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Directions to “ ANNIKA NICOLE CHAMBERS MD” Practice Location

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