Individual
MARY S CHACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7453
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
027421
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
027421
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274216
—
CT
01
—
010027421CT03
ANTHEM BCBS
CT
01
—
042065
HEALTH NET
CT
01
—
1125923
AETNA US HEALTHCARE
CT
01
—
148535
OXFORD
CT
01
—
397884
CIGNA
CT
01
—
58R691
EMPIRE BCBS
NY
01
—
810730064
PHCS
CT
01
—
P00293964
RAILROAD MEDICARE
CT
Enumeration date
06/11/2006
Last updated
08/07/2013
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