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Individual

ELIZABETH CHALOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885

Taxonomy

Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
62759
NJ
2080P0216X
Pediatric Rheumatology Physician
Primary
66643
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6866808
NJ
Enumeration date
07/20/2006
Last updated
12/27/2019
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