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Dr. Eugene J Chiavacci, MD
Specialist in Old Forge, Pennsylvania
NPI 1992794630

Eugene J Chiavacci is a Specialist based in Old Forge, PA. Eugene J Chiavacci practices in Old Forge, PA and has the professional credentials of MD. The NPI Number for Eugene J Chiavacci is 1992794630 and holds a License No. MD027185E (Pennsylvania).

The current practice location address for Eugene J Chiavacci is 730 S Main St, Old Forge, PA and can be reached out via phone at 570-457-3300 and via fax at 570-457-4878.

Location: 730 S Main St, Old Forge, PA, 18518-1459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992794630
Provider Name
Eugene J Chiavacci
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
730 S Main St, Old Forge, PA, 18518-1459
Phone Number
570-457-3300
Fax Number
570-457-4878
Provider Enumeration Date
10/16/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00920915 05 PA
institution
Provider Business Practice Location Address Details
Address
730 S Main St
City
Old Forge
State
Pennsylvania
Zip
18518-1459
Phone Number
570-457-3300
Fax Number
570-457-4878
person
Provider Business Mailing Address Details
Address
730 S Main St
City
Old Forge
State
Pennsylvania
Zip
18518-1459
Phone Number
570-457-3300
Fax Number
570-457-4878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD027185E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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