Individual
ZACHARY CHALONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MAINE MEDICAL CENTER, 22 BRAMHALL STREET, PORTLAND, ME 04102-3134
(631) 599-0048
Mailing address
MAINE MEDICAL CENTER, 22 BRAMHALL STREET, PORTLAND, ME 04102-3134
(631) 599-0048
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT4742
ME
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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