Healthcare Provider Details

I. General information

NPI: 1952622680
Provider Name (Legal Business Name): JOHNPAUL CHUKWUDI CHIZEA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD STE 212
NEWARK DE
19713-2148
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD STE 212
NEWARK DE
19713-2148
US

V. Phone/Fax

Practice location:
  • Phone: 302-274-2187
  • Fax: 302-274-2187
Mailing address:
  • Phone: 302-274-2187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMT196605
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number25MA11858900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: