Provider Demographics
NPI:1780674960
Name:CHAPMAN, PAUL HAMILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HAMILTON
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-3887
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:NEUROSUREGERY MGH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-3887
Practice Address - Fax:617-724-7632
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA31179207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA709819OtherTUFTS HEALTH PLAN
MAM08319OtherBCBS MA
MA2008017Medicaid
B75800Medicare UPIN
MAM08319Medicare ID - Type Unspecified