Individual
HEIDI LYNN CHAMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(215) 612-5161
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
283031
MA
Other
Enumeration date
05/31/2017
Last updated
08/26/2024
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