Individual
MARY ELIZABETH CHMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
58 OLD NORTH RD, WORTHINGTON, MA 01098-9753
(413) 238-5511
(413) 238-5358
Mailing address
58 OLD NORTH RD, WORTHINGTON, MA 01098-9753
(413) 238-5511
(413) 238-5358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221958
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031433
BMC
MA
01
—
20-2253144
PLAN VISTA
MA
05
—
2104784
—
MA
01
—
22-2253144
NORTHEAST HEALTHCARE ALLI
MA
01
—
221958
CONNECTICARE
MA
01
—
36365
HEALTH NEW ENGLAND
MA
01
—
3840924
AETNA
MA
01
—
414540
TUFTS
MA
01
—
4470530
CIGNA
MA
01
—
87333
CHILDREN'S MED. SECURITY
MA
01
—
AA34373
HARVARD PILGRIM
MA
01
—
J28908
BCBS MA
MA
Enumeration date
04/11/2006
Last updated
10/07/2011
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