Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 58972 | MA |
NPI | 1124044920 |
---|---|
Provider Name | Dr. Catherine A Chapman |
First Address | Lexington, MA 02420-1402 |
Second Address | Lexington, MA 02420-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 24/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3066096 | (05) | MA |
E60209 | (02) | MA |