Provider Demographics
NPI:1700068103
Name:CHAVEL, SEVERINE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SEVERINE
Middle Name:MARIE
Last Name:CHAVEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1290 SUMMER ST
Mailing Address - Street 2:SUITE # 3600
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5360
Mailing Address - Country:US
Mailing Address - Phone:203-325-3576
Mailing Address - Fax:203-325-3576
Practice Address - Street 1:1290 SUMMER ST
Practice Address - Street 2:SUITE # 3600
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5360
Practice Address - Country:US
Practice Address - Phone:203-325-3576
Practice Address - Fax:203-325-3576
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2011-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT046265207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology