Individual provider · Type 1 NPI
John Valentine Chisholm Iii, MD
Addiction Medicine (Family Medicine) Physician · Worcester, MA
NPI number
1366731150
Active
Practice location
5 Neponset St
Worcester, MA 01606
Fax (508) 853-5226
Other practice locations
- 883 Blakely Rd, Colchester, VT 05446-4417 · (802) 847-2055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 042-0012873 (VT) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 277524 (MA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1366731150
John Valentine Chisholm Iii, MD's National Provider Identifier is 1366731150, issued on Apr 1, 2011. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Worcester, MA. The record was last updated on Jan 4, 2019.