Provider Demographics
NPI:1972592640
Name:CHAFFKIN, LINDA M (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:CHAFFKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:30 PENNY LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1531
Mailing Address - Country:US
Mailing Address - Phone:203-494-4039
Mailing Address - Fax:
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 507
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-548-1383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT030375207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11184OtherHEALTH NEW ENGLAND
CT2V5830OtherHEALTH NET
CT010030375CT 04OtherANTHEM BLUE CROSE & BLUE
CT010030375CT 03OtherANTHEM BLUE CROSE & BLUE
CT3772845OtherAETNA USHEALTH CARE 1-800
CTP1053585OtherOXFORD HEALTH
CT001303750-00OtherANTHEM BLUE CARE FAMILY P
CT001303750-01OtherANTHEM BLUE CARE FAMILY P
1217755OtherCIGNA
CTF58167Medicare UPIN