Individual
NICHOLAS WAYNE CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 545-0000
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003103
CT
363AM0700X
Medical Physician Assistant
Primary
003103
CT
363AS0400X
Surgical Physician Assistant
003103
CT
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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