Individual
BARBARA CHILMONCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 FORE RIVER PKWY, SUITE 410, PORTLAND, ME 04102
(207) 774-9839
(207) 761-2127
Mailing address
195 FORE RIVER PKWY, SUITE 410, PORTLAND, ME 04102
(207) 774-9839
(207) 761-2127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011760
ME
207K00000X
Allergy & Immunology Physician
011760
ME
2080P0201X
Pediatric Allergy/Immunology Physician
011760
ME
Other
Enumeration date
06/03/2006
Last updated
03/14/2016
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