Mike Chamo

NPI #1790177194 in West Roxbury, Massachusetts

Provider Information

NPI Number: 1790177194
Entity Type: Individual
Name: Mike Chamo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 23, 2015
Last Updated: Feb 23, 2015

Practice Location

Address: 88 GARNET RD
City: West Roxbury
State: Massachusetts
ZIP Code: 02132-1319
Phone: (617) 455-2703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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