Individual
ELIZABETH A. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 CYPRESS ST, SUITE 5, MANCHESTER, NH 03103-3600
(603) 663-8200
(603) 663-8209
Mailing address
445 CYPRESS ST, SUITE 5, MANCHESTER, NH 03103-3600
(603) 663-8200
(603) 663-8209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11618
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP03861NH01
ANTHEM ACES #
NH
01
—
04-05848
UHC
—
01
—
101115806
W/C DEPT OF LABOR PIN
NH
01
—
110235536
RR MEDICARE
—
01
—
159502
TUFTS
NH
01
—
2811669
AETNA
—
05
—
30201169
—
NH
01
—
3738398
CIGNA
NH
01
—
G94506
HPHC
NH
Enumeration date
10/13/2005
Last updated
03/04/2014
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