Individual
DR. TAKUYO CHIBA
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
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
260233
MA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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