Individual
ALLYSA EVELYN CHADDERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 BRANCH ST STE 100, METHUEN, MA 01844-1979
(978) 620-2020
(978) 620-2299
Mailing address
5 BRANCH ST STE 100, METHUEN, MA 01844-1979
(978) 620-2020
(978) 620-2299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4814
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03497550
—
NY
Enumeration date
09/05/2012
Last updated
10/21/2022
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