| Doctor Name: | MRS. MONICA JUNE CHACLAS |
| NPI Number: | 1154317147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 001434 |
| Business Practice Address: | 160 Hawley Ln Trumbull, CT - 066115300 |
| Business Phone Number: | 2033753456 |
| Business Fax Number: | |
| Mailing Address: | 471 Old Poverty Rd, SOUTHBURY |
| State: | CT |
| Postal Code: | 064881760 |
| Phone Number: | 2032677703 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 001434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |