NPI 1366731150 · live from the CMS NPI Registry
John Valentine Chisholm, M.D.
Family Medicine, Addiction Medicine in Worcester, MA. National Provider Identifier 1366731150, active.
NPI record
| NPI | 1366731150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 5 Neponset St, Worcester, MA 01606 |
| Practice phone | 508-595-2300 |
| Enumerated | April 1, 2011 |
| Last updated | January 4, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 042-0012873 (VT) |
| Family Medicine, Addiction Medicine primary | 207QA0401X | 277524 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.