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Organization

LAUREL CHANDLER MD PLLC

Active
Other names
Chandler Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAUREL CHANDLER MD (PHYSICIAN)
(978) 460-0211
Entity
Organization

Contact information

Practice address
195 DANBURY RD STE 203, WILTON, CT 06897-4075
(203) 423-3132
(203) 423-0124
Mailing address
41 PHILLIPS RD, SUDBURY, MA 01776-1271
(978) 460-0211

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063778082
INDIVIDUAL NPI
Enumeration date
04/24/2019
Last updated
06/11/2019
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