Individual
DR. REBECCA GRIMAUD-CHILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 KIM AVE STE 4, TUNKHANNOCK, PA 18657-9101
(570) 836-4400
(570) 836-4440
Mailing address
1 KIM AVE STE 4, TUNKHANNOCK, PA 18657-9101
(570) 836-4400
(570) 836-4440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD419150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378679000
—
PA
Enumeration date
08/22/2006
Last updated
08/15/2012
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