Provider Demographics
NPI:1164561650
Name:HILE, CHANTEL NOELLE (MD)
Entity Type:Individual
Prefix:
First Name:CHANTEL
Middle Name:NOELLE
Last Name:HILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14 CORNELL ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-3404
Mailing Address - Country:US
Mailing Address - Phone:612-840-0102
Mailing Address - Fax:617-868-9243
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:SUITE 407
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-868-7456
Practice Address - Fax:617-868-9243
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2160452086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery