Individual
DEREK BARRETT CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 CENTENNIAL DR RADIATION ONCOLOGY, PEABODY, MA 01960
(978) 977-9400
(978) 538-0341
Mailing address
NORTH SHORE HEALTH SYSTEMS, 81 HIGHLAND AVE, SALEM, MA 01970
(978) 354-4173
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
220136
MA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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