Provider Demographics
NPI:1841244001
Name:CHIOCHETTI, ALICE ANDREA (DO)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:ANDREA
Last Name:CHIOCHETTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALICE
Other - Middle Name:ANDREA
Other - Last Name:GRABOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:700 MELVIN AVE STE 7A
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1515
Mailing Address - Country:US
Mailing Address - Phone:410-280-2260
Mailing Address - Fax:
Practice Address - Street 1:700 MELVIN AVE STE 7A
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1515
Practice Address - Country:US
Practice Address - Phone:410-280-2260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0085591207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology