Provider Demographics
NPI:1376521773
Name:CHESS, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:CHESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:99 HAWLEY LN STE 1102
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-1204
Mailing Address - Country:US
Mailing Address - Phone:203-666-8145
Mailing Address - Fax:203-456-9793
Practice Address - Street 1:99 HAWLEY LN STE 1102
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-1204
Practice Address - Country:US
Practice Address - Phone:203-666-8145
Practice Address - Fax:203-456-9793
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9978207RG0300X, 207R00000X
CT025310207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine