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SURYAMOL CHACKO
Family Nurse Practitioner
NPI: 1053793927IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
R168493(MD)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
R168493(MD)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 8605 RIGLEY'S CHOICE DR
BALTIMORE, MD 21236 - Phone
- (855) 546-2001
Quick Facts
- NPI
- 1053793927
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 11
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