DR. Theodore John Chaconas, M.D.

NPI #1013069806 in Oakland, California

Provider Information

NPI Number: 1013069806
Entity Type: Individual
Name: DR. Theodore John Chaconas, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 747 52ND ST
City: Oakland
State: California
ZIP Code: 94609-1809
Phone: (510) 428-3237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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