Chalal, Jo Ann

Chalal, Jo Ann is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111-2434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Chalal, Jo Ann can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111-2434
Phone: (215) 728-6900
Fax: (215) 214-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MA 06002700 New Jersey
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD 039630-E Pennsylvania

Profile Details

NPI number 1316944424
LBN Legal business name Chalal, Jo Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316944424 NPPES
Pennsylvania MEDICAID 01231236
Pennsylvania MEDICAID 2254719

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