Provider Demographics
NPI:1609289784
Name:CHAPONIS, DEVINEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVINEY
Middle Name:
Last Name:CHAPONIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-2446
Mailing Address - Country:US
Mailing Address - Phone:781-424-8803
Mailing Address - Fax:
Practice Address - Street 1:385 BROADWAY STE 4
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-3059
Practice Address - Country:US
Practice Address - Phone:781-485-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine