Provider Demographics
NPI:1811932726
Name:CHAMBERLIN, G. PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:G.
Middle Name:PARKER
Last Name:CHAMBERLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GUY
Other - Middle Name:PARKER
Other - Last Name:CHAMBERLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4 GLEN COVE DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4235
Mailing Address - Country:US
Mailing Address - Phone:207-593-5727
Mailing Address - Fax:207-593-5338
Practice Address - Street 1:4 GLEN COVE DR
Practice Address - Street 2:SUITE 207
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4235
Practice Address - Country:US
Practice Address - Phone:207-593-5727
Practice Address - Fax:207-593-5338
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME17209207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTH28040Medicare UPIN