Basic Information
| Provider Information | |||||||||
| NPI: | 1679663389 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAPTINI | ||||||||
| FirstName: | LOUIS | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 TEMPLE ST | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065102715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037854138 | ||||||||
| FaxNumber: | 2037851345 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 TEMPLE ST | ||||||||
| Address2: | SUITE 1A | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065102715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037854138 | ||||||||
| FaxNumber: | 2037851345 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 08/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | MA074833 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207RG0100X | C10007588 | DE | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207RG0100X | 51164 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 1000038356 | 05 | DE | MEDICAID | 60020751 | 01 | HORIZON NJ HEALTH | OTHER | 1000036078 | 01 | DE | DELAWARE PHYSICIANS CARE | OTHER | 1090945 | 01 | AETNA | OTHER | 2595018 | 01 | UNITED HEALTHCARE | OTHER | 43276 | 01 | UNIVERSITY HEALTHPLAN | OTHER | P3667775 | 01 | OXFORD | OTHER | 010007755 | 01 | AMERICHOICE | OTHER | 2621385000 | 01 | AMERIHEALTH, KEYSTONE, IBC | OTHER | 2723048000 | 01 | DE | AMERIHEALTH OF DELAWARE | OTHER | P000264298 | 01 | RR MEDICARE | OTHER | 0080918 | 05 | NJ | MEDICAID | 1783953 | 01 | AMERIHEALTH PPO, PA BS | OTHER | 50588 | 01 | CHRISTIANA HEALTHCARE | OTHER | 7120283 | 01 | CIGNA | OTHER | 3K6073 | 01 | HEALTHNET | OTHER |