Provider Demographics
NPI:1508042581
Name:CHASKY, MOSHE CHAIM (MD)
Entity Type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:CHAIM
Last Name:CHASKY
Suffix:
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 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1436
Mailing Address - Country:US
Mailing Address - Phone:215-612-5260
Mailing Address - Fax:215-612-5265
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-5260
Practice Address - Fax:215-612-5265
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427165207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021132490001Medicaid
PA074011Medicare PIN
PA1021132490001Medicaid