Provider Demographics
NPI:1336708635
Name:CHASE, GILLIAN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:ELIZABETH
Last Name:CHASE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:012-730-6414
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:166 TOLL GATE RD
Practice Address - Street 2:CNEMG OBGYN WARWICK
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-739-2000
Practice Address - Fax:401-732-7842
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD19409207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology