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Individual

ELIZABETH A. CHASE

Active
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Individual

ELIZABETH A. CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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