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Individual

DR. PAULA LUCINE CHAKERIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(203) 739-6959
(203) 739-6959
Mailing address
307 GRISSOM RD, MANCHESTER, CT 06042-2222
(203) 739-6959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048388
CT
208M00000X
Hospitalist Physician
048388
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1563394C77
BNDD
CT
Enumeration date
12/26/2007
Last updated
03/10/2020
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