Provider Demographics
NPI:1477739811
Name:CHESTER SURGICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CHESTER SURGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RONDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-581-2300
Mailing Address - Street 1:1 MEDICAL PARK DR
Mailing Address - Street 2:BUILDING 4, SUITE B
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-9769
Mailing Address - Country:US
Mailing Address - Phone:803-581-2300
Mailing Address - Fax:803-581-2330
Practice Address - Street 1:1 MEDICAL PARK DR
Practice Address - Street 2:BUILDING 4, SUITE B
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-9769
Practice Address - Country:US
Practice Address - Phone:803-581-2300
Practice Address - Fax:803-581-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26684208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty