Provider Demographics
NPI:1336272699
Name:CHRZAN, JAMES S (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:CHRZAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 TRIPHAMMER ROAD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043
Mailing Address - Country:US
Mailing Address - Phone:781-878-4517
Mailing Address - Fax:781-878-9378
Practice Address - Street 1:28 PACIFIC ST.
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370
Practice Address - Country:US
Practice Address - Phone:781-878-4517
Practice Address - Fax:781-878-9378
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1529213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY70676OtherBLUE CROSS BLUE SHIELD
MA333445OtherHARVARD HEALTH PLAN
MA339792Medicaid
MA712279OtherTUFTS HEALTH PLANS
MAY78038Medicare ID - Type Unspecified
MA333445OtherHARVARD HEALTH PLAN
MA712279OtherTUFTS HEALTH PLANS