Provider Demographics
NPI:1073958187
Name:CHABOT & REICHARD, M.D., P.C.
Entity Type:Organization
Organization Name:CHABOT & REICHARD, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-769-4660
Mailing Address - Street 1:825 WASHINGTON ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-4660
Mailing Address - Fax:781-769-6054
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 240
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-4660
Practice Address - Fax:781-769-6054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA41096174400000X
MA58767174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty