Individual
MRS. CAROLYN B CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
124 SLEEPY HOLLOW DR, SUITE 203, MIDDLETOWN, DE 19709-5838
(302) 449-3030
(302) 449-3040
Mailing address
124 SLEEPY HOLLOW DR, SUITE 203, MIDDLETOWN, DE 19709-5838
(302) 449-3030
(302) 449-3040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001000
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420548ZB9M
MEDICARE PTAN
DE
Enumeration date
07/11/2013
Last updated
01/21/2016
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