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Jonathon Chastek, DO
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1255868063

Jonathon Chastek is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Jonathon Chastek practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Jonathon Chastek is 1255868063 and holds a License No. MA058752 (Massachusetts).

The current practice location address for Jonathon Chastek is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-1131.

Location: 55 Lake Ave N, Worcester, MA, 01655-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255868063
Provider Name
Jonathon Chastek
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 01655-0002
Phone Number
508-334-1131
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-1131
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-1131
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MA058752 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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