Individual
MATTHEW G CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 BUCKLEY ROAD, SYRACUSE, NY 13212
(315) 478-3311
(315) 426-0796
Mailing address
1304 BUCKLEY ROAD, SYRACUSE, NY 13212
(315) 478-3311
(315) 426-0796
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
238054-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000928684001
HEALTHNOW
NY
01
—
060214000032
FIDELIS
NY
01
—
2032464
UNITED HEALTHCARE
NY
05
—
2699049
—
NY
01
—
5771741
AETNA
NY
01
—
796631
MVP
NY
Enumeration date
10/31/2006
Last updated
05/18/2012
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