Provider Demographics
NPI:1538433040
Name:RAMONA CHUBE, M.D.,P.C.
Entity type:Organization
Organization Name:RAMONA CHUBE, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-242-0120
Mailing Address - Street 1:7700-A STENTON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3103
Mailing Address - Country:US
Mailing Address - Phone:215-242-0120
Mailing Address - Fax:215-242-8570
Practice Address - Street 1:7700-A STENTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3103
Practice Address - Country:US
Practice Address - Phone:215-242-0120
Practice Address - Fax:215-242-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD042503-L207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE0886Medicare UPIN