Individual
MS. SUSAN MARIE CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
58767
MA
207X00000X
Orthopaedic Surgery Physician
Primary
58767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058767
TUFTS
MA
01
—
17579
HARVARD PILGRIM
MD
01
—
200012745
RR MEDICARE
MA
05
—
3095240
—
MA
01
—
J12534
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/23/2005
Last updated
12/07/2016
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