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NPI Code Detail

MEDICARE: CHALAN WHELAN PA-C

MEDICARE: CHALAN WHELAN PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1528984440
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHALAN WHELAN PA-C
Provider Business Mailing Address
First Line : 18 PETZ RD
Second Line :
City : STAFFORD SPRINGS
State : CT
Zip : 06076-3902
Country : US
Telephone Number : 860-849-5832
Fax Number :
Provider Business Practice Location Address
First Line : 17 RESEARCH DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-2788
Country : US
Telephone Number : 413-549-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ CHALAN WHELAN PA-C” Practice Location

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