Individual
STEPHEN CHASE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 NORTH PEARL ST, BROCKTON, MA 02301
(508) 427-3034
Mailing address
944 WASHINGTON ST, 1, SOUTH EASTON, MA 02375-1177
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31918
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129771
—
MA
01
—
031918
TUFTS
MA
01
—
B11341
BS
MA
Enumeration date
05/03/2006
Last updated
07/08/2007
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