Most Relevant Information
Provider Data
| NPI Number: | 1003500059 |
| Provider Name: | MADELYN ROSE CHAMIS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9465 |
Most Important Dates
| Enumeration Date: | 06/05/2023 |
| Last Updated: | 04/04/2024 |
Provider Practice Location
1 BOSTON MEDICAL CTR PL
BOSTON
MA
021182908
Practice Location Phone/Fax
| Phone: | 6176388000 |
| Fax: |
Provider Mailing Location
BMC PROVIDER ENROLLMENT OFFICE
960 MASSACHUSETTS AVE,.2ND FLOOR
BOSTON
MA
02118
Provider Mailing Phone/Fax
| Phone: | 6174145405 |
| Fax: |