Provider Demographics
NPI:1376613687
Name:CHIARAMONTE, MICHAEL FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:CHIARAMONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WATERFRONT ST
Mailing Address - Street 2:STE 400
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1142
Mailing Address - Country:US
Mailing Address - Phone:301-877-7737
Mailing Address - Fax:301-877-7739
Practice Address - Street 1:10403 HOSPITAL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3134
Practice Address - Country:US
Practice Address - Phone:301-877-7737
Practice Address - Fax:301-877-7739
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046064174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF87133Medicare UPIN