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NPI Code Detail

MEDICARE: DR. HELEN L CHISHOLM MD

MEDICARE: DR. HELEN L CHISHOLM 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
12085R0202XDiagnostic Radiology Physician54020MA

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 : 1740261023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HELEN L CHISHOLM MD
Provider Business Mailing Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5230
Country : US
Telephone Number : 860-248-9067
Fax Number :
Provider Business Practice Location Address
First Line : 27 PARK ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-5230
Country : US
Telephone Number : 860-248-9067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 10/30/2012

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Directions to “ DR. HELEN L CHISHOLM MD” Practice Location

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