Provider Demographics
NPI:1447237888
Name:CHROBAK, CYNTHIA G (DO)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G
Last Name:CHROBAK
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 1433
Mailing Address - Street 2:ATLANTIC ANESTHESIA PA
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03821-1433
Mailing Address - Country:US
Mailing Address - Phone:603-749-7246
Mailing Address - Fax:603-749-2453
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:WENTWORTH-DOUGLASS HOSPITAL
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-749-7246
Practice Address - Fax:603-749-2453
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2015-03-13
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Provider Licenses
StateLicense IDTaxonomies
NH12836207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30223835Medicaid
NHRE8465Medicare PIN