Individual
ALLEN H. CHAMOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-01816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010458490003
—
PA
01
—
097744
BLUE SHIELD OF PA
PA
Enumeration date
05/01/2006
Last updated
02/18/2011
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