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NPI Code Detail

MEDICARE: CHAD JOHN

MEDICARE: CHAD JOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD014216EPA

General Provider Information

NPI Number : 1093718918
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD JOHN
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : STE 450
City : WEXFORD
State : PA
Zip : 15090-9303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 CORAOPOLIS HEIGHTS RD
Second Line : STE E
City : MOON TWP
State : PA
Zip : 15108-4316
Country : US
Telephone Number : 412-262-2415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/25/2021

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Directions to “ CHAD JOHN ” Practice Location

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