Individual
STEPHEN L CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860
(401) 722-3560
(401) 724-3120
Mailing address
249 ROOSEVELT AVENUE, SUITE 205, PAWTUCKET, RI 02860
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 06763
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SC03683
—
RI
Enumeration date
02/01/2006
Last updated
12/21/2010
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