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NPI Code Detail

MEDICARE: DR. JOHNPAUL CHUKWUDI CHIZEA M.D.

MEDICARE: DR. JOHNPAUL CHUKWUDI CHIZEA M.D.
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
12085R0204XVascular & Interventional Radiology Physician25MA11858900NJ
2208600000XSurgery PhysicianMT196605PA
32086S0129XVascular Surgery PhysicianMD463285PA

General Provider Information

NPI Number : 1952622680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHNPAUL CHUKWUDI CHIZEA M.D.
Provider Business Mailing Address
First Line : 537 STANTON CHRISTIANA RD STE 212
Second Line :
City : NEWARK
State : DE
Zip : 19713-2148
Country : US
Telephone Number : 302-274-2187
Fax Number :
Provider Business Practice Location Address
First Line : 252 S 4TH ST FL 2
Second Line :
City : LEBANON
State : PA
Zip : 17042-6111
Country : US
Telephone Number : 717-270-3751
Fax Number : 717-270-3754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 02/03/2026

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