Elsamma Chacko, MD
Internal Medicine in Middletown, CT. Individual provider (NPI-1).
NPI number1790844926
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790844926
- Entity type
- Individual (NPI-1)
- Name
- Elsamma Chacko
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0033196 | CT | Yes |
Practice location
Silver StreetConnecticut Valley Hospital
Middletown, CT 06457
Phone 860-262-5867 · Fax 860-262-5850
Mailing address
Po Box 351 Silver StreetConnecticut Valley Hospital
Middletown, CT 06457
Phone 860-262-5867 · Fax 860-262-5850
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