Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A90541 | CA |
NPI | 1891758488 |
---|---|
Provider Name | Dr. David Scott Chrzanowski |
First Address | Danvers, MA 01923-3623 |
Second Address | Danvers, MA 01923-3623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 29/12/2021 |