MEDICARE: THEODORE PHILLIPS CHAMBERS M.D.

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
1	2085N0904X	Nuclear Radiology Physician	0101056643	VA
2	2085P0229X	Pediatric Radiology Physician	0101056643	VA
3	2085R0204X	Vascular & Interventional Radiology Physician	0101056643	VA
4	2085R0202X	Diagnostic Radiology Physician	0101056643	VA
5	2085N0700X	Neuroradiology Physician	0101056643	VA
6	2085U0001X	Diagnostic Ultrasound Physician	0101056643	VA
7	2085B0100X	Body Imaging Physician	0101056643	VA

General Provider Information

NPI Number	:	1972521979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE PHILLIPS CHAMBERS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 416026
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6026
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	8140 CORPORATE DRIVE
Second Line	:	#125
City	:	BALTIMORE
State	:	MD
Zip	:	21236-6901
Country	:	US
Telephone Number	:	410-931-9729
Fax Number	:	410-931-2133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/15/2025

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Directions to “ THEODORE PHILLIPS CHAMBERS M.D.” Practice Location

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