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NPI Code Detail

MEDICARE: CHELSY GILROY

MEDICARE:   CHELSY  GILROY
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
11041C0700XClinical Social WorkerLC10437ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528006772
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSY GILROY
Provider Business Mailing Address
First Line : 301 US ROUTE 1
Second Line : BUILDING C
City : SCARBOROUGH
State : ME
Zip : 04074-7609
Country : US
Telephone Number : 207-396-8600
Fax Number : 207-396-8632
Provider Business Practice Location Address
First Line : 100 CAMPUS DR
Second Line : UNIT 107
City : SCARBOROUGH
State : ME
Zip : 04074-7171
Country : US
Telephone Number : 207-885-7565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 06/10/2013

Similar Medicare Providers

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1417977067 — SCOT C REMICK MD
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Directions to “ CHELSY GILROY ” Practice Location

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