Provider Demographics
NPI:1932179660
Name:CHIULLI, DONALD A (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:CHIULLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:AMBULATORY CARE PHYSICIANS AT CDH, PC
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-2363
Mailing Address - Fax:413-582-2914
Practice Address - Street 1:30 LOCUST ST
Practice Address - Street 2:AMBULATORY CARE PHYSICIANS AT CDH, PC
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2052
Practice Address - Country:US
Practice Address - Phone:413-582-2363
Practice Address - Fax:413-582-2914
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2014-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA77986207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA101610OtherCIGNA
MA2359900OtherAETNA
MA930094279OtherMEDICARE RAILROAD
MA438620OtherHARVARD PILGRIM HEALTH PL
MA11282OtherHEALTH NEW ENGLAND
MA77986OtherTUFTS HEALTH PLAN
MA000000020638OtherBMC HEALTHNET
MA632919OtherCONNECTICARE
MAJ14071OtherBLUE CROSS AND BLUE SHIEL
MA3206726Medicaid
MA77986OtherTUFTS HEALTH PLAN
MAF56496Medicare UPIN