Individual
JUSTIN L. CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
273954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083207A
—
MA
05
—
110083207B
—
MA
Enumeration date
06/24/2008
Last updated
11/12/2020
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