Individual
DR. SUNNY R CHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
257971
MA
390200000X
Student in an Organized Health Care Education/Training Program
4301098053
MI
Other
Enumeration date
07/18/2011
Last updated
10/02/2018
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