Provider Demographics
NPI:1326051053
Name:CHIPPERFIELD, ANNE G (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:G
Last Name:CHIPPERFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:338 MONTAGUE CITY RD
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1830
Mailing Address - Country:US
Mailing Address - Phone:413-772-3748
Mailing Address - Fax:413-774-3072
Practice Address - Street 1:338 MONTAGUE CITY RD
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1830
Practice Address - Country:US
Practice Address - Phone:413-772-3748
Practice Address - Fax:413-774-3072
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
D88504Medicare UPIN