Individual
MARC CHAMBERLAIN
Active
Individual
MARC CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME91872
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME91872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271514700
—
FL
01
—
52302
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/05/2006
Last updated
10/10/2012
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