Individual
DR. JEANNETTE CHINCHILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 272-2382
(203) 272-0071
Mailing address
677 S MAIN ST STE 4, CHESHIRE, CT 06410-3161
(203) 272-2382
(203) 272-0071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001297292
—
CT
Enumeration date
06/23/2006
Last updated
08/31/2023
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