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Individual

ELIZABETH M CHACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, APRN

Contact information

Practice address
MASSACHUSETTS GENERAL BRIGHAM HOSPITAL, 81 HIGHLAND AVE, SALEM, MA, SALEM, MA 01970
(978) 354-2236
Mailing address
1450 CHAPEL ST, 5TH FLOOR, NEW HAVEN, CT 06511-4405
(203) 789-3538
(203) 687-5461

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2358660
MA

Other

Enumeration date
09/20/2011
Last updated
01/03/2022
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