Provider Demographics
NPI:1497185359
Name:CHAPPELKA, ALFRED ROGER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:ROGER
Last Name:CHAPPELKA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 N. FRONT ST UNIT 202
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102
Mailing Address - Country:US
Mailing Address - Phone:717-385-9934
Mailing Address - Fax:
Practice Address - Street 1:1525 N. FRONT ST UNIT 202
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102
Practice Address - Country:US
Practice Address - Phone:717-385-9934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019028E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine