Individual
ELIZABETH CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 WOLCOTT ST, BRISTOL, CT 06010-9701
(860) 589-8872
(860) 589-6468
Mailing address
160 WOLCOTT ST, BRISTOL, CT 06010-9701
(860) 589-8872
(860) 589-6468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
066325
CT
208000000X
Pediatrics Physician
MD15861
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
11/07/2022
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